License holder summary

WAYNE ROBERT HAWTHORNE is a Board Of Medicine licensed to practice in Idaho. The address on file for WAYNE ROBERT HAWTHORNE is 501 Tedsen Lane Crescent City CA 95531. This licensed professional license is not current. The license was granted 08/19/1985 and expired on 07/01/1985.

Idaho

Division of Occupational and Professional Licenses

WAYNE ROBERT HAWTHORNE
Board Of Medicine
License number
M-4969
Date granted
08/19/1985
Date expires
07/01/1985
Class
Board Of Medicine
Status
Canceled
Address
501 Tedsen Lane Crescent City CA 95531
idaholicensing.com
ID 48339378
LAST UPDATED 2024-04-17 21:26:27 UTC

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