Idaho
Division of Occupational and Professional Licenses
GAYLE JEAN DETWEILER
Board Of Medicine
License number
PA-263
Date granted
06/30/1999
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5593 Glenwood St BOISE ID 83714
idaholicensing.com
ID 48347580
LAST UPDATED 2026-04-08 00:48:45 UTC
LAST UPDATED 2026-04-08 00:48:45 UTC
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