Idaho
Division of Occupational and Professional Licenses
Dr. CARLOS ENRIQUE DONAYRE
Board Of Medicine
License number
M-12692
Date granted
10/24/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
2324 COLT RD RANCHO PALOS VERDES CA 90275
idaholicensing.com
ID 48339710
LAST UPDATED 2024-02-10 07:01:09 UTC
LAST UPDATED 2024-02-10 07:01:09 UTC
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