Idaho
Division of Occupational and Professional Licenses
MICHELLE KRISTINE GRAVES
Board Of Medicine
License number
AT-196
Date granted
02/26/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2249 W SELDOVIA ST KUNA ID 83634
idaholicensing.com
ID 48339166
LAST UPDATED 2024-04-02 18:23:15 UTC
LAST UPDATED 2024-04-02 18:23:15 UTC
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