License holder summary

MARK DAVID WIGOD is a Board Of Medicine licensed to practice in Idaho. The address on file for MARK DAVID WIGOD is 3630 E LOUISE DR MERIDIAN ID 83642. This licensed professional license is current. The license was granted 04/06/2001 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

MARK DAVID WIGOD
Board Of Medicine
License number
M-8189
Date granted
04/06/2001
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
3630 E LOUISE DR MERIDIAN ID 83642
idaholicensing.com
ID 48351708
LAST UPDATED 2024-04-16 09:13:22 UTC

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