Idaho
Division of Occupational and Professional Licenses
AXENTIE T. BABIENCO
Board Of Medicine
License number
M-2019
Date granted
07/10/1950
Date expires
09/05/1929
Class
Board Of Medicine
Status
Canceled
Address
310 Sun Building Boise ID 83702
idaholicensing.com
ID 48329040
LAST UPDATED 2024-01-21 18:46:36 UTC
LAST UPDATED 2024-01-21 18:46:36 UTC
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