Idaho
Division of Occupational and Professional Licenses
COLLEEN MARIE VALLAD-HIX
Board Of Medicine
License number
O-0425
Date granted
12/18/2006
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
371 N 30TH ST APT 302 BOISE ID 83702
idaholicensing.com
ID 48332235
LAST UPDATED 2024-02-29 11:17:08 UTC
LAST UPDATED 2024-02-29 11:17:08 UTC
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