Idaho
Division of Occupational and Professional Licenses
LAURA J POLY
Board Of Medicine
License number
D-483
Date granted
12/09/2005
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
300 E Bannock St Boise ID 83712
idaholicensing.com
ID 48358135
LAST UPDATED 2024-02-17 15:50:24 UTC
LAST UPDATED 2024-02-17 15:50:24 UTC
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