Idaho
Division of Occupational and Professional Licenses
Marion LeRoy Rose
Board Of Medicine
License number
LRT-297
Date granted
02/12/1992
Date expires
07/02/1992
Class
Board Of Medicine
Status
Canceled
Address
3722 Rome Ter Indianapolis IN 46228
idaholicensing.com
ID 48361604
LAST UPDATED 2026-03-22 04:26:32 UTC
LAST UPDATED 2026-03-22 04:26:32 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.