Idaho
Division of Occupational and Professional Licenses
JOSEPH ANTHONY DEPASQUALE
Board Of Medicine
License number
LRT-1030
Date granted
10/16/2003
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
787 HUB WILLIS RD MOUNTAIN VIEW AR 72560
idaholicensing.com
ID 48335914
LAST UPDATED 2024-02-24 08:00:46 UTC
LAST UPDATED 2024-02-24 08:00:46 UTC
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