Idaho
Division of Occupational and Professional Licenses
SCOTT MATTHEW WARDIAN
Board Of Medicine
License number
AT-389
Date granted
11/09/2010
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
19016 E RIVERWALK LANE SPOKANE VALLEY WA 99016
idaholicensing.com
ID 48345306
LAST UPDATED 2024-03-12 17:57:55 UTC
LAST UPDATED 2024-03-12 17:57:55 UTC
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