WAYNE ROBERT HAWTHORNE
Idaho M-4969 Canceled
This Idaho license was held by WAYNE ROBERT HAWTHORNE. The license is no longer active. It was granted on 08/19/1985 and expired on 07/01/1985
LICENSE DETAILS
- License Number: M-4969
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/19/1985 (over 39 years ago)
- Expiry Date: 07/01/1985 (almost 40 years ago)
LOCATIONS
A Residential
501 Tedsen Lane Crescent City CA 95531