Idaho
Division of Occupational and Professional Licenses
BEN RAY MALTZ
Board Of Medicine
License number
M-5684
Date granted
07/03/1990
Date expires
07/05/1994
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1867 Shelton WA 98584
idaholicensing.com
ID 48357808
LAST UPDATED 2026-05-03 01:07:21 UTC
LAST UPDATED 2026-05-03 01:07:21 UTC
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