Idaho
Division of Occupational and Professional Licenses
JOSH LT MAYFIELD
Board Of Medicine
License number
PA-802
Date granted
07/28/2009
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 348 POMEROY WA 99347
idaholicensing.com
ID 48339955
LAST UPDATED 2024-02-29 22:38:56 UTC
LAST UPDATED 2024-02-29 22:38:56 UTC
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