Idaho
Division of Occupational and Professional Licenses
Dr. MICHAEL AARON WAUTERS
Board Of Medicine
License number
M-13175
Date granted
02/04/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48338923
LAST UPDATED 2024-03-21 18:24:20 UTC
LAST UPDATED 2024-03-21 18:24:20 UTC
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