Idaho
Division of Occupational and Professional Licenses
MICHAEL CLYDE GRAHAM
Board Of Medicine
License number
PA-594
Date granted
12/15/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1540 PINE CONE RD MOSCOW ID 83843
idaholicensing.com
ID 48334661
LAST UPDATED 2024-05-03 06:09:34 UTC
LAST UPDATED 2024-05-03 06:09:34 UTC
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