License holder summary

Dr. MULLOY GRIGOR HANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MULLOY GRIGOR HANSEN is 338 6th St. Suite 101 LEWISTON ID 83501. This licensed professional license is current. The license was granted 04/27/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. MULLOY GRIGOR HANSEN
Board Of Medicine
License number
M-10654
Date granted
04/27/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
338 6th St. Suite 101 LEWISTON ID 83501
idaholicensing.com
ID 48360708
LAST UPDATED 2024-04-24 22:00:44 UTC

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