Idaho
Division of Occupational and Professional Licenses
JOHN ROBERT SCULLY
Board Of Medicine
License number
PAT-1261
Date granted
09/29/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
801 W WHIMAN ST POCATELLO ID 83204
idaholicensing.com
ID 48344623
LAST UPDATED 2024-04-03 12:55:18 UTC
LAST UPDATED 2024-04-03 12:55:18 UTC
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