Idaho
Division of Occupational and Professional Licenses
DENISE VIVIAN JULIAN
Board Of Medicine
License number
LRT-491
Date granted
03/31/1995
Date expires
07/03/1997
Class
Board Of Medicine
Status
Canceled
Address
PO Box 4003 Pocatello ID 83205
idaholicensing.com
ID 48353865
LAST UPDATED 2024-04-26 10:47:54 UTC
LAST UPDATED 2024-04-26 10:47:54 UTC
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