Idaho
Division of Occupational and Professional Licenses
DR. GAYLIN DUANE LACK
Board Of Medicine
License number
M-10812
Date granted
08/31/2009
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
6440 S MILLROCK DR SALT LAKE CITY UT 84121
idaholicensing.com
ID 48329482
LAST UPDATED 2024-04-25 14:44:47 UTC
LAST UPDATED 2024-04-25 14:44:47 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.