License holder summary

RANDALL WAYNE WALTERS is a Board Of Medicine licensed to practice in Idaho. The address on file for RANDALL WAYNE WALTERS is 1709 LOCUST ST W HAMPTON SC 29924. This licensed professional license is not current. The license was granted 03/04/2000 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

RANDALL WAYNE WALTERS
Board Of Medicine
License number
M-7933
Date granted
03/04/2000
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
1709 LOCUST ST W HAMPTON SC 29924
idaholicensing.com
ID 48357872
LAST UPDATED 2024-04-21 08:04:31 UTC

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