Idaho
Division of Occupational and Professional Licenses
BARBARA ANN WIXOM
Board Of Medicine
License number
LRT-161
Date granted
12/20/1991
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
2422 Syringa Ln Caldwell ID 83605
idaholicensing.com
ID 48355481
LAST UPDATED 2024-03-19 22:07:36 UTC
LAST UPDATED 2024-03-19 22:07:36 UTC
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