Idaho
Division of Occupational and Professional Licenses
CODY JAMES MARCHETTI
Board Of Medicine
License number
MSO-0200
Date granted
05/13/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
3575 RIDGEWOOD R2 POCATELLO ID 83201
idaholicensing.com
ID 48348721
LAST UPDATED 2024-03-16 12:25:44 UTC
LAST UPDATED 2024-03-16 12:25:44 UTC
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