Idaho
Division of Occupational and Professional Licenses
Dr. MAURICIO DIGENES GAYTAN
Board Of Medicine
License number
M-10787
Date granted
08/17/2009
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
601 Victoria Ave Venice CA 90291
idaholicensing.com
ID 48339739
LAST UPDATED 2024-03-06 15:28:38 UTC
LAST UPDATED 2024-03-06 15:28:38 UTC
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