Idaho
Division of Occupational and Professional Licenses
MICHAEL NEIL WHISENANT
Board Of Medicine
License number
M-9628
Date granted
06/13/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2315 8TH STREET GRADE LEWISTON ID 83501
idaholicensing.com
ID 48387159
LAST UPDATED 2024-04-15 03:26:55 UTC
LAST UPDATED 2024-04-15 03:26:55 UTC
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