Idaho
Division of Occupational and Professional Licenses
NATHAN F.E. ULLRICH
Board Of Medicine
License number
M-9251
Date granted
03/31/2005
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
Gorge Urology The Dalles OR 97058
idaholicensing.com
ID 48357493
LAST UPDATED 2024-04-05 08:21:12 UTC
LAST UPDATED 2024-04-05 08:21:12 UTC
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