License holder summary

JON P WAGNILD is a Board Of Medicine licensed to practice in Idaho. The address on file for JON P WAGNILD is 984 W BOGUS VIEW CT Eagle ID 83616. This licensed professional license is not current. The license was granted 11/22/1980.

Idaho

Division of Occupational and Professional Licenses

JON P WAGNILD
Board Of Medicine
License number
M-4213
Date granted
11/22/1980
Class
Board Of Medicine
Status
Canceled
Address
984 W BOGUS VIEW CT Eagle ID 83616
idaholicensing.com
ID 48334539
LAST UPDATED 2024-03-30 03:30:03 UTC

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