Idaho
Division of Occupational and Professional Licenses
RICHARD ALLEN WATHNE
Board Of Medicine
License number
DPHY-6663
Date granted
12/06/2005
Date expires
12/31/2017
Class
Board Of Medicine
Status
Renewed
Address
333 N 18th Ave Ste D1 POCATELLO ID 83201
idaholicensing.com
ID 48352972
LAST UPDATED 2024-02-29 20:52:09 UTC
LAST UPDATED 2024-02-29 20:52:09 UTC
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