License holder summary

SUZANN MARGUERITE WAGNER is a Board Of Medicine licensed to practice in Idaho. The address on file for SUZANN MARGUERITE WAGNER is 27818 PIONEER LANE Parma ID 83660. This licensed professional license is not current. The license was granted 11/08/1991 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

SUZANN MARGUERITE WAGNER
Board Of Medicine
License number
LRT-025
Date granted
11/08/1991
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
27818 PIONEER LANE Parma ID 83660
idaholicensing.com
ID 48334537
LAST UPDATED 2024-04-16 02:20:48 UTC

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