Idaho
Division of Occupational and Professional Licenses
GRANT DRAKE
Board Of Medicine
License number
RTS-182
Date granted
05/28/2009
Date expires
08/31/2010
Class
Board Of Medicine
Status
Expired
Address
1910 UNIVERSITY DRIVE BOISE ID 83725
idaholicensing.com
ID 48335263
LAST UPDATED 2026-04-21 17:57:29 UTC
LAST UPDATED 2026-04-21 17:57:29 UTC
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