Idaho
Division of Occupational and Professional Licenses
AMY GIBBS LARSEN
Board Of Medicine
License number
PAT-996
Date granted
08/27/2012
Date expires
08/08/2014
Class
Board Of Medicine
Status
Expired
Address
9754 W GIBSON JACK RD POCATELLO ID 83204
idaholicensing.com
ID 48363028
LAST UPDATED 2024-05-16 05:19:22 UTC
LAST UPDATED 2024-05-16 05:19:22 UTC
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