JON P WAGNILD
Idaho M-4213 Canceled
This Idaho license was held by JON P WAGNILD. The license is no longer active. It was granted on 11/22/1980
LICENSE DETAILS
- License Number: M-4213
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/22/1980 (over 43 years ago)
LOCATIONS
A Residential
984 W BOGUS VIEW CT Eagle ID 83616