Idaho
Division of Occupational and Professional Licenses
S WAYNE CHAMBERLIN
Board Of Medicine
License number
M-4290
Date granted
03/14/1981
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 690 HELENA MT 59624
idaholicensing.com
ID 48336087
LAST UPDATED 2024-03-23 10:20:54 UTC
LAST UPDATED 2024-03-23 10:20:54 UTC
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