Idaho
Division of Occupational and Professional Licenses
WAYNE CLEAVE AMENDT
Board Of Medicine
License number
M-5079
Date granted
07/11/1986
Date expires
12/01/1977
Class
Board Of Medicine
Status
Canceled
Address
7495 Trailwind Dr. Cincinnati OH 45242
idaholicensing.com
ID 48335943
LAST UPDATED 2024-05-12 11:00:32 UTC
LAST UPDATED 2024-05-12 11:00:32 UTC
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