Idaho
Division of Occupational and Professional Licenses
AMY CHAN
Board Of Medicine
License number
PAT-1301
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
928 W ALAMEDA RD POCATELLO ID 83201
idaholicensing.com
ID 48343075
LAST UPDATED 2024-04-13 20:40:12 UTC
LAST UPDATED 2024-04-13 20:40:12 UTC
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