Idaho
Division of Occupational and Professional Licenses
DENNIS J. MOORE
Board Of Medicine
License number
M-3534
Date granted
07/13/1976
Date expires
07/01/1975
Class
Board Of Medicine
Status
Canceled
Address
3982 North 450 West Provo UT 84604
idaholicensing.com
ID 48359333
LAST UPDATED 2024-03-10 21:16:17 UTC
LAST UPDATED 2024-03-10 21:16:17 UTC
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