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 2026-05-10 17:01:30 UTC
LAST UPDATED 2026-05-10 17:01:30 UTC
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