Idaho
Division of Occupational and Professional Licenses
Dr. MICHAEL JAMES WILDER
Board Of Medicine
License number
M-11920
Date granted
02/25/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
175 NORTH MEDICAL DRIVE EAST SALT LAKE CITY UT 84132
idaholicensing.com
ID 48357026
LAST UPDATED 2024-03-28 00:36:12 UTC
LAST UPDATED 2024-03-28 00:36:12 UTC
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