Idaho
Division of Occupational and Professional Licenses
ELLEN PATRICIA REYNOLDS
Board Of Medicine
License number
PAT-1020
Date granted
08/27/2012
Date expires
08/08/2014
Class
Board Of Medicine
Status
Expired
Address
1371 E PISIOA DR MERIDIAN ID 83642
idaholicensing.com
ID 48346028
LAST UPDATED 2026-03-07 00:05:48 UTC
LAST UPDATED 2026-03-07 00:05:48 UTC
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