Idaho
Division of Occupational and Professional Licenses
LUCAS PURDY BELFORD
Board Of Medicine
License number
PAT-1401
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
2886 E FERN BROOK DR EAGLE ID 83616
idaholicensing.com
ID 48340470
LAST UPDATED 2024-04-03 01:45:34 UTC
LAST UPDATED 2024-04-03 01:45:34 UTC
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