Idaho
Division of Occupational and Professional Licenses
NATHANIEL R. PAYNE
Board Of Medicine
License number
M-3578
Date granted
01/16/1977
Class
Board Of Medicine
Status
Canceled
Address
UCLA Sch/Med Dpt Ped-Neon. Los Angeles CA 90024
idaholicensing.com
ID 48340062
LAST UPDATED 2024-04-25 08:18:53 UTC
LAST UPDATED 2024-04-25 08:18:53 UTC
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