License holder summary

Jon Parker Wagnild is a Medical - Physician licensed to practice in Colorado. The address on file for Jon Parker Wagnild is 3271 MAVERICK LANE, BOISE, ID, 83709-3709. This licensed professional license is not current. The license was granted 04/12/1977 and expired on 05/31/1991.

Colorado

Division of Professions and Occupations

Jon Parker Wagnild
Medical - Physician
License number
20853
Date granted
04/12/1977
Date expires
05/31/1991
Class
Medical - Physician
Status
Expired
Address
3271 MAVERICK LANE, BOISE, ID, 83709-3709
coloradolicensing.org
ID 27452890
LAST UPDATED 2024-04-10 04:16:24 UTC

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