Dr. DRUE ORIN WAGNER
Idaho TLM-2001 Upgraded
This Idaho license was held by Dr. DRUE ORIN WAGNER. The license is no longer active. It was granted on 08/29/1991
LICENSE DETAILS
- License Number: TLM-2001
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/29/1991 (over 33 years ago)
LOCATIONS
A Residential
619 S WASHINGTON ST STE 203 MOSCOW ID 83843