License holder summary

CORWIN PETER GROOM is a Board Of Medicine licensed to practice in Idaho. The address on file for CORWIN PETER GROOM is 500 S 11TH AVE POCATELLO ID 83201. This licensed professional license is current. The license was granted 07/16/1973 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CORWIN PETER GROOM
Board Of Medicine
License number
M-3188
Date granted
07/16/1973
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
500 S 11TH AVE POCATELLO ID 83201
idaholicensing.com
ID 48351779
LAST UPDATED 2024-02-11 23:55:20 UTC

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