License holder summary

STANLEY KEITH WILDER is a Board Of Medicine licensed to practice in Idaho. The address on file for STANLEY KEITH WILDER is 5880 CLOUD RD HERNANDO MS 38632. This licensed professional license is current. The license was granted 05/29/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

STANLEY KEITH WILDER
Board Of Medicine
License number
LRT-1874
Date granted
05/29/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5880 CLOUD RD HERNANDO MS 38632
idaholicensing.com
ID 48357027
LAST UPDATED 2024-02-24 02:51:54 UTC

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