Idaho
Division of Occupational and Professional Licenses
EARLEEN S. MOORE
Board Of Medicine
License number
LRT-1034
Date granted
11/18/2003
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
3330 W Bismark Spokane WA 99205
idaholicensing.com
ID 48359334
LAST UPDATED 2024-02-12 13:17:43 UTC
LAST UPDATED 2024-02-12 13:17:43 UTC
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