Idaho
Division of Occupational and Professional Licenses
DR. LARRY S GREEN
Board Of Medicine
License number
M-10640
Date granted
04/13/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
50 N MEDICAL DRIVE SALT LAKE CITY UT 84132
idaholicensing.com
ID 48347033
LAST UPDATED 2024-03-14 20:55:13 UTC
LAST UPDATED 2024-03-14 20:55:13 UTC
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