Idaho
Division of Occupational and Professional Licenses
ANN MAHANA ROMERO
Board Of Medicine
License number
D-923
Date granted
05/27/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2268 S 650 W LOGAN UT 84321
idaholicensing.com
ID 48361295
LAST UPDATED 2024-05-08 06:47:42 UTC
LAST UPDATED 2024-05-08 06:47:42 UTC
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