Idaho
Division of Occupational and Professional Licenses
JAMES M. PICANCO
Board Of Medicine
License number
LRT-293
Date granted
02/07/1992
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
1143 Pacific St Idaho Falls ID 83404
idaholicensing.com
ID 48354119
LAST UPDATED 2024-03-24 00:28:54 UTC
LAST UPDATED 2024-03-24 00:28:54 UTC
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