Idaho
Division of Occupational and Professional Licenses
LORI JO WORTHAM
Board Of Medicine
License number
PA-1374
Date granted
06/09/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
3520 ADDISON AVE. E. Kimberly ID 83341
idaholicensing.com
ID 48388728
LAST UPDATED 2024-02-29 12:42:21 UTC
LAST UPDATED 2024-02-29 12:42:21 UTC
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