Idaho
Division of Occupational and Professional Licenses
JOHN ALAN MAXFIELD
Board Of Medicine
License number
PA-395
Date granted
07/11/2002
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 3902 ENGLEWOOD CO 80155
idaholicensing.com
ID 48339595
LAST UPDATED 2024-04-07 18:53:15 UTC
LAST UPDATED 2024-04-07 18:53:15 UTC
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