Idaho
Division of Occupational and Professional Licenses
CHARLES STANWOOD KING
Board Of Medicine
License number
PA-1180
Date granted
07/24/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
81 N MARIO CAPECCHI DR SALT LAKE CITY UT 84113
idaholicensing.com
ID 48356111
LAST UPDATED 2024-04-15 05:47:05 UTC
LAST UPDATED 2024-04-15 05:47:05 UTC
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