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 The license is no longer active.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