Idaho
Division of Occupational and Professional Licenses
OMAR ESTIVILL
Board Of Medicine
License number
O-100
Date granted
06/14/1991
Date expires
07/02/1997
Class
Board Of Medicine
Status
Canceled
Address
8 Judy Lane Scotch Plains NJ 07076
idaholicensing.com
ID 48348486
LAST UPDATED 2024-03-28 18:13:59 UTC
LAST UPDATED 2024-03-28 18:13:59 UTC
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