Idaho
Division of Occupational and Professional Licenses
JAMES M PROCHASKA
Board Of Medicine
License number
M-3497
Date granted
07/11/1976
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
2304 Ribier Dr MERIDIAN ID 83646
idaholicensing.com
ID 48355964
LAST UPDATED 2024-02-22 12:11:39 UTC
LAST UPDATED 2024-02-22 12:11:39 UTC
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