Idaho
Division of Occupational and Professional Licenses
NEAL CHARLES SMALL
Board Of Medicine
License number
M-8985
Date granted
01/28/2004
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
5941 CLUB OAKS DRIVE DALLAS TX 75248
idaholicensing.com
ID 48369154
LAST UPDATED 2024-03-07 20:20:16 UTC
LAST UPDATED 2024-03-07 20:20:16 UTC
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