Idaho
Division of Occupational and Professional Licenses
DENNIS ROBERT IRVINE
Board Of Medicine
License number
LRT-1685
Date granted
01/09/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
562 N.Raymond st. BOISE ID 83704
idaholicensing.com
ID 48354836
LAST UPDATED 2024-04-16 23:13:37 UTC
LAST UPDATED 2024-04-16 23:13:37 UTC
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