Idaho
Division of Occupational and Professional Licenses
EDNA L. CRUZEN
Board Of Medicine
License number
M-0222
Date granted
10/01/1901
Date expires
10/01/1901
Class
Board Of Medicine
Status
Canceled
Address
401 Mountain View Drive Boise ID
idaholicensing.com
ID 48344431
LAST UPDATED 2024-05-01 10:59:28 UTC
LAST UPDATED 2024-05-01 10:59:28 UTC
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