Idaho
Division of Occupational and Professional Licenses
WADE RUSSELL SMITH
Board Of Medicine
License number
M-7099
Date granted
09/07/1996
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
DHMC MC 0188 Denver CO 80204
idaholicensing.com
ID 48369493
LAST UPDATED 2024-02-16 18:15:26 UTC
LAST UPDATED 2024-02-16 18:15:26 UTC
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