Idaho
Division of Occupational and Professional Licenses
ALEXANDER GUSTOV WRAY
Board Of Medicine
License number
PAT-1465
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
485 N WHITEWATER PARK BLVD APT B105 BOISE ID 83702
idaholicensing.com
ID 48388858
LAST UPDATED 2024-02-14 10:34:28 UTC
LAST UPDATED 2024-02-14 10:34:28 UTC
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