Idaho
Division of Occupational and Professional Licenses
LACY DAWN DAVIS WALTERS
Board Of Medicine
License number
GPA-014
Date granted
08/23/2006
Class
Board Of Medicine
Status
Upgraded
Address
801 Pole Line Rd W Twin Falls ID 83301
idaholicensing.com
ID 48335910
LAST UPDATED 2024-04-08 17:51:07 UTC
LAST UPDATED 2024-04-08 17:51:07 UTC
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