JONATHAN L WILFORD DO - Medical Doctor License in Idaho | # 036134782

JONATHAN L WILFORD DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134782

License Status

NOT RENEWED

Business

N

Title

DO

First Name

JONATHAN

Middle

L

Last Name

WILFORD

Business Name

JONATHAN L WILFORD DO

Original Issue Date

03/11/2014

Effective Date

09/17/2020

Expiration Date

07/31/2023

State

ID

Ever Disciplined

N

LastModifiedDate

03/12/2026