Idaho
Division of Occupational and Professional Licenses
Melissa Dawn Bates
Board Of Medicine
License number
PA-513
Date granted
10/04/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
808 PANCHERI DR IDAHO FALLS ID 83402
idaholicensing.com
ID 48338041
LAST UPDATED 2024-03-04 17:10:25 UTC
LAST UPDATED 2024-03-04 17:10:25 UTC
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