Idaho
Division of Occupational and Professional Licenses
DAVID ONTIVEROS
Board Of Medicine
License number
O-210
Date granted
09/12/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
117 E 100 S Burley ID 83318
idaholicensing.com
ID 48355421
LAST UPDATED 2024-04-12 23:36:56 UTC
LAST UPDATED 2024-04-12 23:36:56 UTC
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