Idaho
Division of Occupational and Professional Licenses
FRAZIER OWEN COE
Board Of Medicine
License number
PAT-729
Date granted
09/24/2009
Date expires
08/05/2011
Class
Board Of Medicine
Status
Expired
Address
723 E BONITA CANYON ST MERIDIAN ID 83646
idaholicensing.com
ID 48343883
LAST UPDATED 2024-04-20 11:31:26 UTC
LAST UPDATED 2024-04-20 11:31:26 UTC
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