Idaho
Division of Occupational and Professional Licenses
LOIS LEACH BULLOCK
Board Of Medicine
License number
M-6867
Date granted
10/13/1995
Date expires
07/02/1997
Class
Board Of Medicine
Status
Canceled
Address
1102 Circle Dr Dover DE 19901
idaholicensing.com
ID 48341912
LAST UPDATED 2024-03-05 00:45:24 UTC
LAST UPDATED 2024-03-05 00:45:24 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.