Idaho
Division of Occupational and Professional Licenses
HARRY RALPH VANDERWAL JR.
Board Of Medicine
License number
M-9823
Date granted
02/12/2007
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 1335 SAGLE ID 83860
idaholicensing.com
ID 48363952
LAST UPDATED 2024-04-16 11:04:50 UTC
LAST UPDATED 2024-04-16 11:04:50 UTC
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