Idaho
Division of Occupational and Professional Licenses
DIANE ZAVOTSKY
Board Of Medicine
License number
M-9436
Date granted
12/02/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11 Hospital Dr Machias ME 04654
idaholicensing.com
ID 48339277
LAST UPDATED 2026-05-13 00:59:07 UTC
LAST UPDATED 2026-05-13 00:59:07 UTC
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