Idaho
Division of Occupational and Professional Licenses
HARRIET N. BALLENCE
Board Of Medicine
License number
M-0320
Date granted
04/04/1905
Date expires
04/04/1905
Class
Board Of Medicine
Status
Canceled
Address
Pocatello ID 83201
idaholicensing.com
ID 48335751
LAST UPDATED 2024-03-21 15:15:02 UTC
LAST UPDATED 2024-03-21 15:15:02 UTC
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