Idaho
Division of Occupational and Professional Licenses
Ms. LAURA JEAN MOULTON
Board Of Medicine
License number
D-039
Date granted
12/12/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 425 MOUNTAIN HOME ID 83647
idaholicensing.com
ID 48357815
LAST UPDATED 2024-03-08 20:54:33 UTC
LAST UPDATED 2024-03-08 20:54:33 UTC
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