License holder summary

JESSICA RAE WADSWORTH is a Board Of Medicine licensed to practice in Idaho. The address on file for JESSICA RAE WADSWORTH is 972 E 900 N SHELLEY ID 83274. This licensed professional license is not current. The license was granted 10/21/2013 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

JESSICA RAE WADSWORTH
Board Of Medicine
License number
PA-1113
Date granted
10/21/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
972 E 900 N SHELLEY ID 83274
idaholicensing.com
ID 48332552
LAST UPDATED 2024-03-30 06:12:32 UTC

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