Idaho
Division of Occupational and Professional Licenses
LANDON KELLY GRANGE
Board Of Medicine
License number
MRM-1426
Date granted
06/12/2014
Date expires
06/30/2015
Class
Board Of Medicine
Status
Expired
Address
3867 MIRAMAR ST APT G LA JOLLA CA 92037
idaholicensing.com
ID 48350860
LAST UPDATED 2024-04-12 02:36:54 UTC
LAST UPDATED 2024-04-12 02:36:54 UTC
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