Idaho
Division of Occupational and Professional Licenses
GRANT SUN
Board Of Medicine
License number
MSM-0356
Date granted
01/24/2014
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
1043 E 300 S SALT LAKE CITY UT 84102
idaholicensing.com
ID 48371291
LAST UPDATED 2024-01-21 05:02:12 UTC
LAST UPDATED 2024-01-21 05:02:12 UTC
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