Idaho
Division of Occupational and Professional Licenses
Dr. SHAHLA WALIZADA
Board Of Medicine
License number
MSO-0020
Date granted
03/09/2012
Date expires
03/09/2014
Class
Board Of Medicine
Status
Expired
Address
900 S. AUBURN ST. SUITE A KENNEWICK WA 99336
idaholicensing.com
ID 48332665
LAST UPDATED 2024-04-13 19:38:06 UTC
LAST UPDATED 2024-04-13 19:38:06 UTC
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