Idaho
Division of Occupational and Professional Licenses
DALE A. SUNDWALL
Board Of Medicine
License number
M-4796
Date granted
08/10/1984
Date expires
05/31/1985
Class
Board Of Medicine
Status
Canceled
Address
1613-A 12th Avenue Road Nampa ID 83651
idaholicensing.com
ID 48346362
LAST UPDATED 2024-04-18 13:52:56 UTC
LAST UPDATED 2024-04-18 13:52:56 UTC
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