Idaho
Division of Occupational and Professional Licenses
COLLETTE MARY PRATT
Board Of Medicine
License number
M-6925
Date granted
02/01/1996
Date expires
07/02/1996
Class
Board Of Medicine
Status
Canceled
Address
1800 N. Cole Rd. #A303 Boise ID 83704
idaholicensing.com
ID 48362448
LAST UPDATED 2024-04-05 20:03:59 UTC
LAST UPDATED 2024-04-05 20:03:59 UTC
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