Boise, ID 83706
Previous Address | Idaho State Board of Medicine, 345 W Bobwhite Ct, Ste 150 Boise, ID 83706-3994 |
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Previous Address | Idaho Division of Occupational Licenses, 11351 W Chinden Blvd, Bldg 6 Garden City, ID 83714-1021 |
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History
1 January 1994 | Inactive (30 years, 3 months ago) |
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11 December 1989 | Admitted to the State Bar of California (34 years, 4 months ago) |
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