Idaho
Division of Occupational and Professional Licenses
MALLORY CORINNE NEWTON
Board Of Medicine
License number
PAT-1109
Date granted
09/11/2013
Date expires
08/07/2015
Class
Board Of Medicine
Status
Expired
Address
4940 JOHNNY CREEK RD POCATELLO ID 83204
idaholicensing.com
ID 48349212
LAST UPDATED 2024-01-31 03:04:44 UTC
LAST UPDATED 2024-01-31 03:04:44 UTC
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