Idaho
Division of Occupational and Professional Licenses
CONNIE LAVONNE GRAHAM
Board Of Medicine
License number
LRT-288
Date granted
02/07/1992
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
652 DEER MEADOWS LN PAYETTE ID 83661
idaholicensing.com
ID 48334655
LAST UPDATED 2024-01-25 13:25:03 UTC
LAST UPDATED 2024-01-25 13:25:03 UTC
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