Idaho
Division of Occupational and Professional Licenses
Dr. JUSTIN DALE MANLEY
Board Of Medicine
License number
M-11759
Date granted
08/29/2012
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
5936 WATERSCAPE PASS BIRMINGHAM AL 35244
idaholicensing.com
ID 48360381
LAST UPDATED 2024-02-14 21:55:40 UTC
LAST UPDATED 2024-02-14 21:55:40 UTC
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