Idaho
Division of Occupational and Professional Licenses
JAIME DAWN WIERSEMA
Board Of Medicine
License number
PGT-026
Date granted
05/23/2006
Class
Board Of Medicine
Status
Upgraded
Address
145 CRESTVIEW DRIVE Twin Falls ID 83301
idaholicensing.com
ID 48348259
LAST UPDATED 2024-04-15 07:19:03 UTC
LAST UPDATED 2024-04-15 07:19:03 UTC
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