Idaho
Division of Occupational and Professional Licenses
BRENDA GAY WARGO
Board Of Medicine
License number
LRT-1642
Date granted
06/27/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2125 DIANE LANE POCATELLO ID 83201
idaholicensing.com
ID 48351705
LAST UPDATED 2024-03-06 05:16:21 UTC
LAST UPDATED 2024-03-06 05:16:21 UTC
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