Idaho
Division of Occupational and Professional Licenses
ANANDA WALALIYADDA
Board Of Medicine
License number
M-8731
Date granted
01/27/2003
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1448 East Center Street POCATELLO ID 83201
idaholicensing.com
ID 48332591
LAST UPDATED 2024-02-28 02:58:52 UTC
LAST UPDATED 2024-02-28 02:58:52 UTC
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