License holder summary

KIM JANET WILSON is a Physician licensed to practice in Indiana. The address on file for KIM JANET WILSON is LEWISTON ID 83501. This licensed professional license is not current. The license was granted 08/27/1992 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

KIM JANET WILSON
Physician
License number
01040708A
Date granted
08/27/1992
Date expires
06/30/1995
Class
Physician
Status
Expired Non-Renewable
Address
LEWISTON ID 83501
indianalicensing.org
ID 6071448
LAST UPDATED 2024-02-18 16:22:20 UTC

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