Idaho
Division of Occupational and Professional Licenses
MICHAEL AVILA
Board Of Medicine
License number
LRT-444
Date granted
05/19/1994
Date expires
07/03/2001
Class
Board Of Medicine
Status
Canceled
Address
9334 Kayla Ct Hayden ID 83835
idaholicensing.com
ID 48338937
LAST UPDATED 2024-02-01 18:02:20 UTC
LAST UPDATED 2024-02-01 18:02:20 UTC
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