Idaho
Division of Occupational and Professional Licenses
Dr. PAUL ANTHONY LACEY
Board Of Medicine
License number
M-10920
Date granted
02/11/2010
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
3 VALLEY VIEW DR TONASKET WA 98855
idaholicensing.com
ID 48329472
LAST UPDATED 2024-04-01 12:57:43 UTC
LAST UPDATED 2024-04-01 12:57:43 UTC
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