Idaho
Division of Occupational and Professional Licenses
ANGELA TULLIS WYNIA
Board Of Medicine
License number
PAT-835
Date granted
09/16/2010
Date expires
08/03/2012
Class
Board Of Medicine
Status
Expired
Address
722 VILLAGE LANE BOISE ID 83702
idaholicensing.com
ID 48354005
LAST UPDATED 2024-03-11 13:28:40 UTC
LAST UPDATED 2024-03-11 13:28:40 UTC
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