Idaho
Division of Occupational and Professional Licenses
CHARLA RAE WILLIS
Board Of Medicine
License number
M-9369
Date granted
08/26/2005
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
Valley Medical Center, PLLC LEWISTON ID 83501
idaholicensing.com
ID 48388112
LAST UPDATED 2024-03-09 03:23:11 UTC
LAST UPDATED 2024-03-09 03:23:11 UTC
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