Idaho
Division of Occupational and Professional Licenses
ALVIN PETE CORMACK
Board Of Medicine
License number
M-5193
Date granted
02/28/1987
Date expires
09/28/1998
Class
Board Of Medicine
Status
Surrendered
Address
320 14TH AVE LEWISTON ID 83501
idaholicensing.com
ID 48329291
LAST UPDATED 2024-03-28 01:17:33 UTC
LAST UPDATED 2024-03-28 01:17:33 UTC
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