Idaho
Division of Occupational and Professional Licenses
ANDREW LYNN PRATER
Board Of Medicine
License number
LRT-627
Date granted
06/11/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3143 E. Stone Point Dr. BOISE ID 83712
idaholicensing.com
ID 48362444
LAST UPDATED 2024-02-18 16:24:56 UTC
LAST UPDATED 2024-02-18 16:24:56 UTC
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