Idaho
Division of Occupational and Professional Licenses
CODY GLENN WIENCH
Board Of Medicine
License number
MSM-0614
Date granted
01/15/2016
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
1736 E IMPERIAL PARK LN SALT LAKE CITY UT 84106
idaholicensing.com
ID 48360176
LAST UPDATED 2024-03-16 08:29:23 UTC
LAST UPDATED 2024-03-16 08:29:23 UTC
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