Idaho
Division of Occupational and Professional Licenses
MICHAEL T PHILLIPS
Board Of Medicine
License number
M-2906
Date granted
01/13/1970
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
PO Box 8760 KETCHUM ID 83340
idaholicensing.com
ID 48352542
LAST UPDATED 2024-03-08 11:55:14 UTC
LAST UPDATED 2024-03-08 11:55:14 UTC
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