License holder summary

MR. CASEY S WYATT is a Board Of Medicine licensed to practice in Idaho. The address on file for MR. CASEY S WYATT is 3406 S GRAND BLVD APT 205 (No City In Record) ID UnAssigned. This licensed professional license is not current. The license was granted 08/31/2010 and expired on 01/30/2011.

Idaho

Division of Occupational and Professional Licenses

MR. CASEY S WYATT
Board Of Medicine
License number
PAT-805
Date granted
08/31/2010
Date expires
01/30/2011
Class
Board Of Medicine
Status
Expired
Address
3406 S GRAND BLVD APT 205 (No City In Record) ID UnAssigned
idaholicensing.com
ID 48389311
LAST UPDATED 2024-03-14 19:51:43 UTC

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