Idaho
Division of Occupational and Professional Licenses
TATYANA I BALL
Board Of Medicine
License number
LRT-1522
Date granted
05/24/2011
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
5929 N Standard st Spokane WA 99208
idaholicensing.com
ID 48335744
LAST UPDATED 2024-05-08 00:02:17 UTC
LAST UPDATED 2024-05-08 00:02:17 UTC
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