JODILYN WARDLE HANSEN
Idaho LRT-1618 Canceled
This Idaho license was held by JODILYN WARDLE HANSEN. The license is no longer active. It was granted on 05/07/2012 and expired on 08/01/2013
LICENSE DETAILS
- License Number: LRT-1618
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/07/2012 (about 12 years ago)
- Expiry Date: 08/01/2013 (almost 11 years ago)
LOCATIONS
A Residential
2986 NEWMAN DRIVE IDAHO FALLS ID 83402