Idaho
Division of Occupational and Professional Licenses
DEBRA RUTH RAY
Board Of Medicine
License number
PA-419
Date granted
09/23/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
777 Hospital Way Suite 202 Pocatello ID 83201
idaholicensing.com
ID 48340090
LAST UPDATED 2024-04-21 23:56:43 UTC
LAST UPDATED 2024-04-21 23:56:43 UTC
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