Idaho
Division of Occupational and Professional Licenses
Charles Anthony Grijalva
Board Of Medicine
License number
LRT-758
Date granted
03/17/1999
Date expires
06/30/2001
Class
Board Of Medicine
Status
Canceled
Address
PO Box 20 COLTON WA 99113
idaholicensing.com
ID 48351732
LAST UPDATED 2024-03-02 23:33:58 UTC
LAST UPDATED 2024-03-02 23:33:58 UTC
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