Idaho
Division of Occupational and Professional Licenses
GARY WAYNE SOUCIE
Board Of Medicine
License number
DPHY-8585
Date granted
09/17/2009
Date expires
12/31/2017
Class
Board Of Medicine
Status
Renewed
Address
1441 Parkway Dr BLACKFOOT ID 83221
idaholicensing.com
ID 48343392
LAST UPDATED 2024-02-22 10:10:32 UTC
LAST UPDATED 2024-02-22 10:10:32 UTC
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