Idaho
Division of Occupational and Professional Licenses
GREGORY GRANT PATCH
Board Of Medicine
License number
M-5163
Date granted
11/15/1986
Date expires
07/02/1990
Class
Board Of Medicine
Status
Canceled
Address
3673 S. 2990 E. Salt Lake City UT 84109
idaholicensing.com
ID 48338396
LAST UPDATED 2024-05-10 07:14:28 UTC
LAST UPDATED 2024-05-10 07:14:28 UTC
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