Idaho
Division of Occupational and Professional Licenses
JON S. WAYLAND
Board Of Medicine
License number
M-3309
Date granted
01/05/1975
Date expires
03/01/1967
Class
Board Of Medicine
Status
Canceled
Address
1873 Park Avenue Klamath Falls OR 97601
idaholicensing.com
ID 48391676
LAST UPDATED 2024-02-11 08:22:08 UTC
LAST UPDATED 2024-02-11 08:22:08 UTC
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