Idaho
Division of Occupational and Professional Licenses
JANICE BALLEW BROWN
Board Of Medicine
License number
LRT-998
Date granted
04/29/2003
Date expires
06/30/2008
Class
Board Of Medicine
Status
Canceled
Address
P O BOX 1342 LOS ALAMOS NM 87544
idaholicensing.com
ID 48341777
LAST UPDATED 2024-01-29 21:13:03 UTC
LAST UPDATED 2024-01-29 21:13:03 UTC
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