Idaho
Division of Occupational and Professional Licenses
Alex Cameron Moss
Board Of Medicine
License number
PA-516
Date granted
10/12/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
465 Washington St MONTPELIER ID 83254
idaholicensing.com
ID 48361527
LAST UPDATED 2024-04-26 17:23:27 UTC
LAST UPDATED 2024-04-26 17:23:27 UTC
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