Idaho
Division of Occupational and Professional Licenses
GERALD IRA POLUKOFF
Board Of Medicine
License number
M-9904
Date granted
04/19/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1400 N 1350 E LOGAN UT 84341
idaholicensing.com
ID 48349860
LAST UPDATED 2024-03-23 13:28:50 UTC
LAST UPDATED 2024-03-23 13:28:50 UTC
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