Idaho
Division of Occupational and Professional Licenses
ANDREW PAUL BLACK
Idaho Board Of Podiatry - Podiatrist
License number
P - 210
Date granted
07/18/2011
Date expires
01/14/2017
Class
Idaho Board Of Podiatry - Podiatrist
Status
Current
Address
ONTARIO OR 97914
idaholicensing.com
ID 19688729
LAST UPDATED 2026-05-22 13:19:00 UTC
LAST UPDATED 2026-05-22 13:19:00 UTC
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