Idaho
Division of Occupational and Professional Licenses
COLLEEN RENE ASUMENDI FILLMORE
Board Of Medicine
License number
D-264
Date granted
06/18/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
7784 West Bayhill St. BOISE ID 83704
idaholicensing.com
ID 48349913
LAST UPDATED 2024-03-25 13:14:21 UTC
LAST UPDATED 2024-03-25 13:14:21 UTC
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