Idaho
Division of Occupational and Professional Licenses
LAVERN RAY DAVIDHIZAR
Board Of Medicine
License number
O-176
Date granted
03/08/1997
Class
Board Of Medicine
Status
Active
Address
206 W ROCKWELL AVE STE 100 Soldotna AK 99669
idaholicensing.com
ID 48338991
LAST UPDATED 2024-04-20 13:33:04 UTC
LAST UPDATED 2024-04-20 13:33:04 UTC
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