Idaho
Division of Occupational and Professional Licenses
OLIVIA ROCHELLE MANGEAC
Board Of Medicine
License number
PA-1387
Date granted
08/01/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
3238 N FALSTAFF PLACE EAGLE ID 83616
idaholicensing.com
ID 48329575
LAST UPDATED 2024-03-31 08:58:19 UTC
LAST UPDATED 2024-03-31 08:58:19 UTC
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