License holder summary

JODILYN WARDLE HANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for JODILYN WARDLE HANSEN is 2986 NEWMAN DRIVE IDAHO FALLS ID 83402. This licensed professional license is not current. The license was granted 05/07/2012 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

JODILYN WARDLE HANSEN
Board Of Medicine
License number
LRT-1618
Date granted
05/07/2012
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
2986 NEWMAN DRIVE IDAHO FALLS ID 83402
idaholicensing.com
ID 48345397
LAST UPDATED 2024-03-13 04:04:54 UTC

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