Idaho
Division of Occupational and Professional Licenses
DIANE MARGENE GATES
Board Of Medicine
License number
LRT-331
Date granted
03/09/1992
Date expires
07/02/1997
Class
Board Of Medicine
Status
Canceled
Address
8254 S. 15th E. Idaho Falls ID 83404
idaholicensing.com
ID 48338158
LAST UPDATED 2024-03-12 13:58:04 UTC
LAST UPDATED 2024-03-12 13:58:04 UTC
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