Idaho
Division of Occupational and Professional Licenses
JOHN E LILJENQUIST
Board Of Medicine
License number
M-4220
Date granted
11/22/1980
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3910 WASHINGTON PARKWAY IDAHO FALLS ID 83404
idaholicensing.com
ID 48354474
LAST UPDATED 2024-02-09 03:43:10 UTC
LAST UPDATED 2024-02-09 03:43:10 UTC
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