Idaho
Division of Occupational and Professional Licenses
LORI ANN WOODBURY
Board Of Medicine
License number
PA-410
Date granted
09/03/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
808 PANCHERI DR IDAHO FALLS ID 83402
idaholicensing.com
ID 48342216
LAST UPDATED 2024-03-19 15:54:29 UTC
LAST UPDATED 2024-03-19 15:54:29 UTC
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