Idaho
Division of Occupational and Professional Licenses
GINGER L DATTILO
Board Of Medicine
License number
M-5095
Date granted
07/11/1986
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 828 Bellevue ID 83313
idaholicensing.com
ID 48338121
LAST UPDATED 2024-05-02 01:09:17 UTC
LAST UPDATED 2024-05-02 01:09:17 UTC
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