Idaho
Division of Occupational and Professional Licenses
Dr. JUSTINE MARION MACNEIL
Board Of Medicine
License number
M-10762
Date granted
07/20/2009
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
1472 S LINCOLN ST SALT LAKE CITY UT 84105
idaholicensing.com
ID 48329569
LAST UPDATED 2024-02-19 07:27:31 UTC
LAST UPDATED 2024-02-19 07:27:31 UTC
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