ROBERT S WAGNER
Idaho M-5280 Canceled
This Idaho license was held by ROBERT S WAGNER. The license is no longer active. It was granted on 10/31/1987 and expired on 06/30/2007
LICENSE DETAILS
- License Number: M-5280
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/31/1987 (over 37 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Residential
PO Box 735 Wilson WY 83014