Idaho
Division of Occupational and Professional Licenses
JUAN CARLOS PALACIOS
Board Of Medicine
License number
LRT-1382
Date granted
06/15/2009
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
1016 W GREENDALE ST WEST COVINA CA 91790
idaholicensing.com
ID 48329632
LAST UPDATED 2024-02-07 18:47:27 UTC
LAST UPDATED 2024-02-07 18:47:27 UTC
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