DANIEL JOHN WEGNER
Idaho TLM-3206 Upgraded
This Idaho license was held by DANIEL JOHN WEGNER. The license is no longer active. It was granted on 06/14/2002
LICENSE DETAILS
- License Number: TLM-3206
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/14/2002 (almost 23 years ago)
LOCATIONS
A Residential
877 W Main Street, Suite 603 Boise ID 83702