Idaho
Division of Occupational and Professional Licenses
ETHAN DANIEL WASHBURN
Board Of Medicine
License number
PAT-690
Date granted
01/12/2009
Date expires
07/17/2009
Class
Board Of Medicine
Status
Expired
Address
140 N 12TH AVE OTHELLO WA 99344
idaholicensing.com
ID 48342210
LAST UPDATED 2024-02-09 03:54:47 UTC
LAST UPDATED 2024-02-09 03:54:47 UTC
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