Idaho
Division of Occupational and Professional Licenses
J ROBERT POLK
Board Of Medicine
License number
M-4525
Date granted
07/31/1982
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1312 N 10th Street Boise ID 83702
idaholicensing.com
ID 48357096
LAST UPDATED 2024-04-07 00:27:21 UTC
LAST UPDATED 2024-04-07 00:27:21 UTC
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