Idaho
Division of Occupational and Professional Licenses
JOSEPH REDFORD LILJENQUIST
Board Of Medicine
License number
M-9781
Date granted
12/18/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3405 MERLIN DRIVE IDAHO FALLS ID 83404
idaholicensing.com
ID 48354476
LAST UPDATED 2024-02-29 19:48:21 UTC
LAST UPDATED 2024-02-29 19:48:21 UTC
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