Idaho
Division of Occupational and Professional Licenses
JO ELLA LEE PHILLIPS
Board Of Medicine
License number
PA-1018
Date granted
10/26/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
1132 SW CARVER ST COLLEGE PLACE WA 99324
idaholicensing.com
ID 48352536
LAST UPDATED 2024-04-19 02:31:49 UTC
LAST UPDATED 2024-04-19 02:31:49 UTC
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