Idaho
Division of Occupational and Professional Licenses
MARIAN SMITH PENGILLY
Board Of Medicine
License number
D-141
Date granted
12/22/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1136 North Mountainview Rd MOSCOW ID 83843
idaholicensing.com
ID 48351210
LAST UPDATED 2024-04-02 19:39:01 UTC
LAST UPDATED 2024-04-02 19:39:01 UTC
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