License holder summary

GLENN PETER MORADIAN is a Board Of Medicine licensed to practice in Idaho. The address on file for GLENN PETER MORADIAN is P O BOX 373 TETONIA ID 83452. This licensed professional license is current. The license was granted 11/23/2004 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

GLENN PETER MORADIAN
Board Of Medicine
License number
M-9166
Date granted
11/23/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
P O BOX 373 TETONIA ID 83452
idaholicensing.com
ID 48330018
LAST UPDATED 2024-05-14 15:01:35 UTC

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