Idaho
Division of Occupational and Professional Licenses
MICHAEL STEVEN ALLEN
Board Of Medicine
License number
LRT-1109
Date granted
06/27/2005
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
14045 SW Teal Blvd Apt H Beaverton OR 97008
idaholicensing.com
ID 48335589
LAST UPDATED 2024-02-17 02:04:01 UTC
LAST UPDATED 2024-02-17 02:04:01 UTC
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