Idaho
Division of Occupational and Professional Licenses
MARY JEANE MCCULLOUGH
Board Of Medicine
License number
LRT-292
Date granted
02/07/1992
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2091 Highland Drive BLACKFOOT ID 83221
idaholicensing.com
ID 48342645
LAST UPDATED 2024-04-06 21:20:16 UTC
LAST UPDATED 2024-04-06 21:20:16 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.