Idaho
Division of Occupational and Professional Licenses
Dr. GORDON TROY PRAIRIE
Board Of Medicine
License number
M-9250
Date granted
03/31/2005
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
48 WILSON RD APT B WEST POINT NY 10996
idaholicensing.com
ID 48335038
LAST UPDATED 2024-05-17 13:23:55 UTC
LAST UPDATED 2024-05-17 13:23:55 UTC
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