Idaho
Division of Occupational and Professional Licenses
K RAE AMBROZ
Board Of Medicine
License number
M-8678
Date granted
10/31/2002
Class
Board Of Medicine
Status
Active
Address
PO BOX 13044 JACKSON WY 83002
idaholicensing.com
ID 48335937
LAST UPDATED 2024-04-26 11:29:42 UTC
LAST UPDATED 2024-04-26 11:29:42 UTC
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