Idaho
Division of Occupational and Professional Licenses
LEWIS JOHN MELINE
Board Of Medicine
License number
M-7972
Date granted
04/24/2000
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
1441 Parkway Dr Blackfoot ID 83221
idaholicensing.com
ID 48358364
LAST UPDATED 2024-04-22 06:27:30 UTC
LAST UPDATED 2024-04-22 06:27:30 UTC
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