License holder summary

WAGNER IDA JANELLE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WAGNER IDA JANELLE is PHILADELPHIA PA. This doctor license is not current. The license was granted 05/30/2008.

New York

Office of the Professions

WAGNER IDA JANELLE
Medicine (Physician, Including M Ds & D Os)
License number
248861
Date granted
05/30/2008
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
PHILADELPHIA PA
nymedicine.org
ID 30130746
LAST UPDATED 2024-01-27 08:54:58 UTC

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