Idaho
Division of Occupational and Professional Licenses
JULIE ANN LATRELL
Board Of Medicine
License number
AT-464
Date granted
06/11/2013
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
1331 Bristol Rd Moscow ID 83843
idaholicensing.com
ID 48338284
LAST UPDATED 2024-03-19 09:06:53 UTC
LAST UPDATED 2024-03-19 09:06:53 UTC
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