Idaho
Division of Occupational and Professional Licenses
JERALD LEE WATTS
Board Of Medicine
License number
M-6174
Date granted
03/13/1993
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1744 Mandeville LA 70470
idaholicensing.com
ID 48372044
LAST UPDATED 2024-03-31 16:40:53 UTC
LAST UPDATED 2024-03-31 16:40:53 UTC
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