Idaho
Division of Occupational and Professional Licenses
MICHAEL W. CRIM
Board Of Medicine
License number
M-4822
Date granted
08/24/1984
Date expires
06/30/1989
Class
Board Of Medicine
Status
Canceled
Address
1601 12th Avenue Rd., Ste. 105 Nampa ID 83651
idaholicensing.com
ID 48344320
LAST UPDATED 2024-04-13 05:31:39 UTC
LAST UPDATED 2024-04-13 05:31:39 UTC
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