Idaho
Division of Occupational and Professional Licenses
JULIE A ISRAELSEN
Board Of Medicine
License number
PA-966
Date granted
02/16/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
13630 SOUTHSHORE LN NAMPA ID 83686
idaholicensing.com
ID 48333592
LAST UPDATED 2024-03-22 01:41:33 UTC
LAST UPDATED 2024-03-22 01:41:33 UTC
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