Dr. JARED Paul WAGNER
Idaho M-11989 Renewed
This Idaho license is held by Dr. JARED Paul WAGNER. The license is currently active. It was granted on 04/25/2013 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-11989
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 04/25/2013 (about 11 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
98 Popular Street Blackfoot ID 83221
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