Idaho
Division of Occupational and Professional Licenses
SUSAN ELIZABETH WIEDMEIER
Board Of Medicine
License number
M-7107
Date granted
09/07/1996
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
9071 Jeremy Rd Park City UT 84098
idaholicensing.com
ID 48345453
LAST UPDATED 2026-05-31 04:01:00 UTC
LAST UPDATED 2026-05-31 04:01:00 UTC
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