Idaho
Division of Occupational and Professional Licenses
MICHAEL HENRY WILDER
Board Of Medicine
License number
M-8636
Date granted
09/14/2002
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
PO Box 586 Eastpoint FL 32328
idaholicensing.com
ID 48357023
LAST UPDATED 2024-02-07 11:06:55 UTC
LAST UPDATED 2024-02-07 11:06:55 UTC
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