License holder summary

CARL EDWARD WYNE is a Board Of Medicine licensed to practice in Idaho. The address on file for CARL EDWARD WYNE is 625 W. Pacific Blackfoot ID 83221. This licensed professional license is not current. The license was granted 07/20/1984 and expired on 07/02/1996.

Idaho

Division of Occupational and Professional Licenses

CARL EDWARD WYNE
Board Of Medicine
License number
M-4806
Date granted
07/20/1984
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
625 W. Pacific Blackfoot ID 83221
idaholicensing.com
ID 48389365
LAST UPDATED 2024-02-26 13:42:41 UTC

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