Idaho
Division of Occupational and Professional Licenses
AVERY D PRATT Jr.
Board Of Medicine
License number
M-2676
Date granted
01/11/1965
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
705 N COBBLESTONE WAY EAGLE ID 83616
idaholicensing.com
ID 48362447
LAST UPDATED 2024-02-25 13:02:34 UTC
LAST UPDATED 2024-02-25 13:02:34 UTC
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