Idaho
Division of Occupational and Professional Licenses
ROBERT S WAGNER
Board Of Medicine
License number
M-5280
Date granted
10/31/1987
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
PO Box 735 Wilson WY 83014
idaholicensing.com
ID 48334535
LAST UPDATED 2024-02-01 13:51:36 UTC
LAST UPDATED 2024-02-01 13:51:36 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.