Idaho
Division of Occupational and Professional Licenses
JOHN LEE ELLIS
Board Of Medicine
License number
LRT-1107
Date granted
06/23/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3125 N Ustick Circle Boise ID 83704
idaholicensing.com
ID 48355171
LAST UPDATED 2024-04-27 00:04:17 UTC
LAST UPDATED 2024-04-27 00:04:17 UTC
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