Idaho
Division of Occupational and Professional Licenses
GROVER LYNN MALLARD
Idaho Board Of Chiropractic Physicians - Chiropractic Physician
License number
CHIA - 832
Date granted
02/26/1997
Date expires
04/02/2017
Class
Idaho Board Of Chiropractic Physicians - Chiropractic Physician
Status
Current
Address
LEWISTON ID 83501
idaholicensing.com
ID 22464768
LAST UPDATED 2024-03-11 09:14:24 UTC
LAST UPDATED 2024-03-11 09:14:24 UTC
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