License holder summary

ALAN KEITH MIRLY is a Board Of Medicine licensed to practice in Idaho. The address on file for ALAN KEITH MIRLY is 333 N 18TH AVE STE #B-3 POCATELLO ID 83201. This licensed professional license is current. The license was granted 05/06/2005 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

ALAN KEITH MIRLY
Board Of Medicine
License number
PA-558
Date granted
05/06/2005
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
333 N 18TH AVE STE #B-3 POCATELLO ID 83201
idaholicensing.com
ID 48354875
LAST UPDATED 2024-03-11 20:07:08 UTC

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