Idaho
Division of Occupational and Professional Licenses
COLLYN JOY PULLAM
Board Of Medicine
License number
LRT-956
Date granted
09/05/2002
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
7164 N EPERVIER LN COEUR D ALENE ID 83815
idaholicensing.com
ID 48362502
LAST UPDATED 2024-03-09 09:36:44 UTC
LAST UPDATED 2024-03-09 09:36:44 UTC
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