Idaho
Division of Occupational and Professional Licenses
CHARLES A MAXWELL
Board Of Medicine
License number
M-4152
Date granted
01/11/1980
Date expires
06/24/1971
Class
Board Of Medicine
Status
Deceased
Address
19676 E Cameron Ave Covina CA 91724
idaholicensing.com
ID 48339599
LAST UPDATED 2024-02-24 19:23:47 UTC
LAST UPDATED 2024-02-24 19:23:47 UTC
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