Idaho
Division of Occupational and Professional Licenses
EVAN DAYNE IVIE
Board Of Medicine
License number
PA-1265
Date granted
07/13/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2730 Channing Way Idaho Falls ID 83404
idaholicensing.com
ID 48354187
LAST UPDATED 2024-04-06 15:10:16 UTC
LAST UPDATED 2024-04-06 15:10:16 UTC
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