Idaho
Division of Occupational and Professional Licenses
CHANTELL TWITCHELL DIAL
Board Of Medicine
License number
LRT-1546
Date granted
07/14/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
244 E RICH LN BLACKFOOT ID 83221
idaholicensing.com
ID 48335915
LAST UPDATED 2024-03-01 13:17:08 UTC
LAST UPDATED 2024-03-01 13:17:08 UTC
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