DR. ELLIOTT JAY WAGNER
Idaho M-10481 Renewed
This Idaho license is held by DR. ELLIOTT JAY WAGNER. The license is currently active. It was granted on 10/21/2008 and expired on 06/30/2018
LICENSE DETAILS
- License Number: M-10481
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 10/21/2008 (over 16 years ago)
- Expiry Date: 06/30/2018 (almost 7 years ago)
LOCATIONS
A Residential
200 EAST 66TH STREET C-904 NEW YORK NY 10065
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