GREGORY MATHEW WICKERN

Idaho  SPHY-10495   Renewed

This Idaho license is held by GREGORY MATHEW WICKERN. The license is currently active. It was granted on 01/04/2011 and expired on 12/31/2016

LICENSE DETAILS

  • License Number: SPHY-10495
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 01/04/2011 (over 14 years ago)
  • Expiry Date: 12/31/2016 (over 8 years ago)

LOCATIONS

A Residential

ASTHMA & ALLERGY OF IDAHO TWIN FALLS ID 83301