Idaho
Division of Occupational and Professional Licenses
KENNETH J WEGNER
Board Of Medicine
License number
M-4690
Date granted
09/06/1983
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
PO Box 3666 Jackson WY 83001
idaholicensing.com
ID 48347482
LAST UPDATED 2024-02-01 20:28:29 UTC
LAST UPDATED 2024-02-01 20:28:29 UTC
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