License holder summary

GARY WAYNE SOUCIE is a Board Of Medicine licensed to practice in Idaho. The address on file for GARY WAYNE SOUCIE is 1441 Parkway Dr BLACKFOOT ID 83221. This licensed professional license is current. The license was granted 09/17/2009 and expired on 12/31/2017.

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

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