Idaho
Division of Occupational and Professional Licenses
SCOTT EDWARD WAGNON
Board Of Medicine
License number
PAT-425
Date granted
06/29/2005
Date expires
08/09/2005
Class
Board Of Medicine
Status
Expired
Address
1655 S ELM ST #207 CANBY OR 97013
idaholicensing.com
ID 48334540
LAST UPDATED 2024-02-10 14:39:57 UTC
LAST UPDATED 2024-02-10 14:39:57 UTC
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