Idaho
Division of Occupational and Professional Licenses
WAYNE D BOSWORTH
Board Of Medicine
License number
M-5135
Date granted
10/02/1986
Date expires
08/18/1959
Class
Board Of Medicine
Status
Canceled
Address
1840 Chalk Creek Rd #66 Coalville UT 84017
idaholicensing.com
ID 48341272
LAST UPDATED 2024-02-12 18:35:14 UTC
LAST UPDATED 2024-02-12 18:35:14 UTC
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