Idaho
Division of Occupational and Professional Licenses
CONSTANCE ARLENE PETRICK
Board Of Medicine
License number
M-5572
Date granted
09/16/1989
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1236 Alvin TX 77512
idaholicensing.com
ID 48354114
LAST UPDATED 2024-03-18 00:32:26 UTC
LAST UPDATED 2024-03-18 00:32:26 UTC
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