MARK DAVID WIGOD
Idaho SPHYC-0038 Renewed
This Idaho license is held by MARK DAVID WIGOD. The license is currently active. It was granted on 04/27/2011 and expired on 12/31/2016
LICENSE DETAILS
- License Number: SPHYC-0038
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 04/27/2011 (about 14 years ago)
- Expiry Date: 12/31/2016 (over 8 years ago)
LOCATIONS
A Residential
3630 E LOUISE DR MERIDIAN ID 83642
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