Department of State
Board of Medicine
IDA JANELLE WAGNER
Graduate Medical Trainee
License number
MT186202
Date granted
05/12/2005
Date expires
06/17/2011
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19144
medicinepa.com
ID 37577017
LAST UPDATED 2024-02-28 02:30:36 UTC
LAST UPDATED 2024-02-28 02:30:36 UTC
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