Idaho
Division of Occupational and Professional Licenses
BALAJI LAXMANAN
Board Of Medicine
License number
MRM-1098
Date granted
01/19/2010
Date expires
06/30/2010
Class
Board Of Medicine
Status
Expired
Address
500 W FORT ST #111 BOISE ID 83702
idaholicensing.com
ID 48339591
LAST UPDATED 2026-06-05 01:21:53 UTC
LAST UPDATED 2026-06-05 01:21:53 UTC
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