CAROL JEAN WILDER
Idaho TLM-2921 Upgraded
This Idaho license was held by CAROL JEAN WILDER. The license is no longer active. It was granted on 04/05/2000
LICENSE DETAILS
- License Number: TLM-2921
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 04/05/2000 (about 24 years ago)
LOCATIONS
A Residential
1920 Blackwell Rd Coeur d Alene ID 83814