Idaho
Division of Occupational and Professional Licenses
LEONARD WILDEMAN
Board Of Medicine
License number
M-4649
Date granted
07/28/1983
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
11909 Glacier Hwy #304 Auke Bay AK 99821
idaholicensing.com
ID 48348262
LAST UPDATED 2024-02-28 21:54:53 UTC
LAST UPDATED 2024-02-28 21:54:53 UTC
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