Idaho
Division of Occupational and Professional Licenses
Dr. MANUEL Jose CACERES
Board Of Medicine
License number
M-12153
Date granted
09/03/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
3100 CHANNING WAY IDAHO FALLS ID 83404
idaholicensing.com
ID 48329285
LAST UPDATED 2024-02-03 13:18:59 UTC
LAST UPDATED 2024-02-03 13:18:59 UTC
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