Idaho
Division of Occupational and Professional Licenses
MICHELLE GRACE FALCONER
Board Of Medicine
License number
LRT-1634
Date granted
06/08/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4271 E. Palm St Meridian ID 83646
idaholicensing.com
ID 48349574
LAST UPDATED 2024-03-31 17:49:25 UTC
LAST UPDATED 2024-03-31 17:49:25 UTC
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