Idaho
Division of Occupational and Professional Licenses
CHANTEE ISABEL WYATT
Board Of Medicine
License number
PA-1182
Date granted
07/29/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2762 W 3600 S WESTON ID 83286
idaholicensing.com
ID 48389318
LAST UPDATED 2024-02-22 23:31:29 UTC
LAST UPDATED 2024-02-22 23:31:29 UTC
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