Idaho
Division of Occupational and Professional Licenses
OWEN MICHAEL HARRIS
Board Of Medicine
License number
PAT-1238
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
1867 N TYRA AVE BOISE ID 83713
idaholicensing.com
ID 48362936
LAST UPDATED 2024-03-28 12:42:02 UTC
LAST UPDATED 2024-03-28 12:42:02 UTC
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