Idaho
Division of Occupational and Professional Licenses
LARRY ALAN LAVENDER
Board Of Medicine
License number
LRT-474
Date granted
12/21/1994
Date expires
07/05/1995
Class
Board Of Medicine
Status
Canceled
Address
426 Lincoln St. Walla Walla WA 99362
idaholicensing.com
ID 48339202
LAST UPDATED 2024-05-19 09:36:17 UTC
LAST UPDATED 2024-05-19 09:36:17 UTC
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