Idaho
Division of Occupational and Professional Licenses
MIKE D WEIDEMAN
Board Of Medicine
License number
LRT-103
Date granted
11/22/1991
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2305 Valleyview Dr. WEISER ID 83672
idaholicensing.com
ID 48348251
LAST UPDATED 2024-05-10 04:17:31 UTC
LAST UPDATED 2024-05-10 04:17:31 UTC
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