Idaho
Division of Occupational and Professional Licenses
JOHN B. MAYBERRY
Board Of Medicine
License number
LRT-179
Date granted
12/28/1991
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
3808 Stonegate Way CALDWELL ID 83605
idaholicensing.com
ID 48339933
LAST UPDATED 2024-02-10 04:42:21 UTC
LAST UPDATED 2024-02-10 04:42:21 UTC
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