CODY GLENN WIENCH
Idaho MSM-0614 Expired
This Idaho license was held by CODY GLENN WIENCH. The license is no longer active. It was granted on 01/15/2016 and expired on 06/30/2016
LICENSE DETAILS
- License Number: MSM-0614
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 01/15/2016 (about 9 years ago)
- Expiry Date: 06/30/2016 (over 8 years ago)
LOCATIONS
A Residential
1736 E IMPERIAL PARK LN SALT LAKE CITY UT 84106