Idaho
Division of Occupational and Professional Licenses
CHARLES SIMON GARCIA
Board Of Medicine
License number
PA-798
Date granted
06/03/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
51 NORTH BROADWAY ST #133 BLACKFOOT ID 83221
idaholicensing.com
ID 48343326
LAST UPDATED 2024-03-05 07:53:21 UTC
LAST UPDATED 2024-03-05 07:53:21 UTC
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