Idaho
Division of Occupational and Professional Licenses
BOYD KIMBALL SOUTHWICK
Board Of Medicine
License number
MRM-704
Date granted
12/10/2001
Date expires
03/31/2002
Class
Board Of Medicine
Status
Canceled
Address
3614 Washington Pkwy IDAHO FALLS ID 83404
idaholicensing.com
ID 48353775
LAST UPDATED 2024-03-23 13:37:36 UTC
LAST UPDATED 2024-03-23 13:37:36 UTC
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