Idaho
Division of Occupational and Professional Licenses
LAURA ELIZABETH BLACK
Board Of Medicine
License number
MSM-0396
Date granted
06/09/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
26313 SE 31ST STREET SAMMAMISH WA 98075
idaholicensing.com
ID 48329242
LAST UPDATED 2024-04-18 21:27:13 UTC
LAST UPDATED 2024-04-18 21:27:13 UTC
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