Dr. DRUE ORIN WAGNER
Idaho MI-5902 Canceled
This Idaho license was held by Dr. DRUE ORIN WAGNER. The license is no longer active. It was granted on 11/09/1991 and expired on 06/30/2004
LICENSE DETAILS
- License Number: MI-5902
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/09/1991 (over 33 years ago)
- Expiry Date: 06/30/2004 (almost 21 years ago)
LOCATIONS
A Residential
619 S WASHINGTON ST STE 203 MOSCOW ID 83843