DANIELLE MARIE WAGNER

Idaho  D-927   Licensed

This Idaho license is held by DANIELLE MARIE WAGNER. The license is currently active. It was granted on 06/21/2016 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: D-927
  • Category: Board Of Medicine
  • Status: Licensed
  • Date Granted: 06/21/2016 (almost 9 years ago)
  • Expiry Date: 06/30/2017 (almost 8 years ago)

LOCATIONS

A Residential

808 20TH AVE EAST JEROME ID 83338