License holder summary

ELLEN BERNADINE E WASSMUTH is a Board Of Medicine licensed to practice in Idaho. The address on file for ELLEN BERNADINE E WASSMUTH is Rt. 3 Box 156 Cottonwood ID 83522. This licensed professional license is not current. The license was granted 10/11/1991 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

ELLEN BERNADINE E WASSMUTH
Board Of Medicine
License number
LRT-003
Date granted
10/11/1991
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
Rt. 3 Box 156 Cottonwood ID 83522
idaholicensing.com
ID 48359903
LAST UPDATED 2024-04-04 05:52:27 UTC

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