License holder summary

CAROL JEAN WILDER is a Board Of Medicine licensed to practice in Idaho. The address on file for CAROL JEAN WILDER is 1920 Blackwell Rd Coeur d Alene ID 83814. This licensed professional license is not current. The license was granted 06/09/2000 and expired on 06/30/2001.

Idaho

Division of Occupational and Professional Licenses

CAROL JEAN WILDER
Board Of Medicine
License number
M-8005
Date granted
06/09/2000
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
1920 Blackwell Rd Coeur d Alene ID 83814
idaholicensing.com
ID 48357021
LAST UPDATED 2024-02-15 01:37:17 UTC

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