Idaho
Division of Occupational and Professional Licenses
Dr. JUSTIN BRADLEY SMITH
Board Of Medicine
License number
M-12706
Date granted
10/30/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
RADIA INC. P.S. ATTN: Credentialing Lynnwood WA 98036
idaholicensing.com
ID 48369320
LAST UPDATED 2024-02-13 00:05:58 UTC
LAST UPDATED 2024-02-13 00:05:58 UTC
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