Idaho
Division of Occupational and Professional Licenses
BRENT R PAYNE
Board Of Medicine
License number
M-3672
Date granted
07/18/1977
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
1059 W GRAINERY COVE RIVERTON UT 84065
idaholicensing.com
ID 48340050
LAST UPDATED 2024-02-21 13:11:11 UTC
LAST UPDATED 2024-02-21 13:11:11 UTC
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