License holder summary

ALONZO RIVAS is a Board Of Medicine licensed to practice in Idaho. The address on file for ALONZO RIVAS is 4111 W BRENDA LN MERIDIAN ID 83646. This licensed professional license is not current. The license was granted 10/01/2008 and expired on 07/30/2010.

Idaho

Division of Occupational and Professional Licenses

ALONZO RIVAS
Board Of Medicine
License number
PAT-667
Date granted
10/01/2008
Date expires
07/30/2010
Class
Board Of Medicine
Status
Expired
Address
4111 W BRENDA LN MERIDIAN ID 83646
idaholicensing.com
ID 48355425
LAST UPDATED 2024-02-17 00:19:53 UTC

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