Idaho
Division of Occupational and Professional Licenses
MARYALICE LOPEZ
Board Of Medicine
License number
MSM-0020
Date granted
05/17/2010
Date expires
06/30/2013
Class
Board Of Medicine
Status
Expired
Address
206 8TH AVE E TWIN FALLS ID 83301
idaholicensing.com
ID 48349499
LAST UPDATED 2024-03-27 08:50:55 UTC
LAST UPDATED 2024-03-27 08:50:55 UTC
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