Idaho
Division of Occupational and Professional Licenses
EMILIO DENICIO SULPIZIO
Board Of Medicine
License number
MSM-0578
Date granted
06/25/2015
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
322 E FRONT ST STE 442 BOISE ID 83702
idaholicensing.com
ID 48354765
LAST UPDATED 2024-04-10 23:07:35 UTC
LAST UPDATED 2024-04-10 23:07:35 UTC
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