Idaho
Division of Occupational and Professional Licenses
MARJORIE EVANS SIVULA
Board Of Medicine
License number
D-132
Date granted
12/21/1994
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
670 S 1900 W SPRINGFIELD ID 83277
idaholicensing.com
ID 48355441
LAST UPDATED 2024-02-02 06:58:58 UTC
LAST UPDATED 2024-02-02 06:58:58 UTC
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