Idaho
Division of Occupational and Professional Licenses
MANDY ELAINE MERRICK
Board Of Medicine
License number
PAT-1334
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
1510 BENCH RD A10 POCATELLO ID 83201
idaholicensing.com
ID 48354036
LAST UPDATED 2024-04-05 19:57:19 UTC
LAST UPDATED 2024-04-05 19:57:19 UTC
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