Idaho
Division of Occupational and Professional Licenses
GLEN J. CHURCH
Board Of Medicine
License number
M-4296
Date granted
03/14/1981
Class
Board Of Medicine
Status
Deceased
Address
3903 Harrison Blvd. E-308 Ogden UT 84403
idaholicensing.com
ID 48353412
LAST UPDATED 2024-04-07 23:04:34 UTC
LAST UPDATED 2024-04-07 23:04:34 UTC
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