Idaho
Division of Occupational and Professional Licenses
LOREN CAMILLE MACEY
Board Of Medicine
License number
M-9134
Date granted
08/27/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
190 E Bannock BOISE ID 83712
idaholicensing.com
ID 48329524
LAST UPDATED 2024-03-16 13:51:27 UTC
LAST UPDATED 2024-03-16 13:51:27 UTC
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