Idaho
Division of Occupational and Professional Licenses
Dr. SOMNATH JAGANNATH PRABHU
Board Of Medicine
License number
M-13100
Date granted
11/17/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
19020 33RD AVE WEST LYNNWOOD WA 98036
idaholicensing.com
ID 48329135
LAST UPDATED 2024-02-16 15:08:54 UTC
LAST UPDATED 2024-02-16 15:08:54 UTC
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