Idaho
Division of Occupational and Professional Licenses
Dr. LEONARD PORTOCARRERO
Board Of Medicine
License number
M-13449
Date granted
09/13/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
959 E. 400 S. SALT LAKE CITY UT 84102
idaholicensing.com
ID 48361085
LAST UPDATED 2024-02-18 22:26:34 UTC
LAST UPDATED 2024-02-18 22:26:34 UTC
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