Dr. ANDREW JAMES WAGNER
Idaho M-12036 Canceled
This Idaho license was held by Dr. ANDREW JAMES WAGNER. The license is no longer active. It was granted on 06/03/2013 and expired on 08/03/2015
LICENSE DETAILS
- License Number: M-12036
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 06/03/2013 (about 11 years ago)
- Expiry Date: 08/03/2015 (almost 9 years ago)
LOCATIONS
A Residential
4535 DRESSLER RD NW CANTON OH 44718