Idaho
Division of Occupational and Professional Licenses
JUDITH R CONSTANTINO
Board Of Medicine
License number
M-4710
Date granted
01/15/1983
Date expires
09/30/2013
Class
Board Of Medicine
Status
Extended
Address
9163 W Pocatello Crk Rd POCATELLO ID 83201
idaholicensing.com
ID 48344106
LAST UPDATED 2026-05-17 17:51:30 UTC
LAST UPDATED 2026-05-17 17:51:30 UTC
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