Idaho
Division of Occupational and Professional Licenses
MIAH LYNN MOLLAY
Board Of Medicine
License number
PAT-1390
Date granted
06/27/2016
Date expires
11/06/2016
Class
Board Of Medicine
Status
Expired
Address
1377 CERRAMAR CT EAGLE ID 83616
idaholicensing.com
ID 48340002
LAST UPDATED 2024-01-31 21:39:40 UTC
LAST UPDATED 2024-01-31 21:39:40 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.