Idaho
Division of Occupational and Professional Licenses
GAYLE LAKE GREGORY
Board Of Medicine
License number
M-11900
Date granted
02/05/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
15801 DON CARLOS DR PRESCOTT AZ 86305
idaholicensing.com
ID 48347374
LAST UPDATED 2024-05-07 02:34:10 UTC
LAST UPDATED 2024-05-07 02:34:10 UTC
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