Idaho
Division of Occupational and Professional Licenses
GAVIN ROSS POWELL
Board Of Medicine
License number
M-7519
Date granted
06/09/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
318 2ND ST S NAMPA ID 83651
idaholicensing.com
ID 48362399
LAST UPDATED 2024-03-07 08:34:18 UTC
LAST UPDATED 2024-03-07 08:34:18 UTC
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