Idaho
Division of Occupational and Professional Licenses
ADAM MICHAEL GRANT
Board Of Medicine
License number
LRT-514
Date granted
09/11/1995
Date expires
07/03/1997
Class
Board Of Medicine
Status
Canceled
Address
6940 Laurel Ave. Highland CA 92346
idaholicensing.com
ID 48351721
LAST UPDATED 2024-04-07 02:08:58 UTC
LAST UPDATED 2024-04-07 02:08:58 UTC
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