Idaho
Division of Occupational and Professional Licenses
JOHN LAWRENCE HEADLEY
Board Of Medicine
License number
M-8100
Date granted
09/28/2000
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
1812 145th Pl SE MILL CREEK WA 98012
idaholicensing.com
ID 48329913
LAST UPDATED 2024-04-15 23:57:24 UTC
LAST UPDATED 2024-04-15 23:57:24 UTC
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