RICHARD ALLEN WATHNE
Idaho DPHY-6663 Renewed
This Idaho license is held by RICHARD ALLEN WATHNE. The license is currently active. It was granted on 12/06/2005 and expired on 12/31/2017
LICENSE DETAILS
- License Number: DPHY-6663
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 12/06/2005 (over 18 years ago)
- Expiry Date: 12/31/2017 (over 6 years ago)
LOCATIONS
A Residential
333 N 18th Ave Ste D1 POCATELLO ID 83201
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