Idaho
Division of Occupational and Professional Licenses
GERARDO MIDENCE
Board Of Medicine
License number
M-8750
Date granted
03/08/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
314 PRESTON DR LEWISTON ID 83501
idaholicensing.com
ID 48342810
LAST UPDATED 2024-02-27 19:16:11 UTC
LAST UPDATED 2024-02-27 19:16:11 UTC
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