License holder summary

Dr. MARY Patricia COLVIN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MARY Patricia COLVIN is 3325 POCAHONTAS RD. BAKER CITY OR 97814. This licensed professional license is not current. The license was granted 08/07/2012 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

Dr. MARY Patricia COLVIN
Board Of Medicine
License number
M-11737
Date granted
08/07/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
3325 POCAHONTAS RD. BAKER CITY OR 97814
idaholicensing.com
ID 48344012
LAST UPDATED 2024-04-02 20:56:06 UTC

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