Idaho
Division of Occupational and Professional Licenses
TODD MICHAEL DETWILER
Board Of Medicine
License number
M-6529
Date granted
08/12/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1301 W 12th Ste 401 EMPORIA KS 66801
idaholicensing.com
ID 48348607
LAST UPDATED 2024-04-01 06:42:15 UTC
LAST UPDATED 2024-04-01 06:42:15 UTC
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