Idaho
Division of Occupational and Professional Licenses
GLENDA PRIVETT
Board Of Medicine
License number
RTS-795
Date granted
05/02/2016
Date expires
04/20/2017
Class
Board Of Medicine
Status
Licensed
Address
PO BOX 1478 PLAINS MT 59859
idaholicensing.com
ID 48355423
LAST UPDATED 2024-02-07 18:19:21 UTC
LAST UPDATED 2024-02-07 18:19:21 UTC
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