Idaho
Division of Occupational and Professional Licenses
PADMA MALINI ARIYAWANSA
Board Of Medicine
License number
M-6126
Date granted
12/05/1992
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
SE 1205 SE Professional Mall Blvd PULLMAN WA 99163
idaholicensing.com
ID 48336811
LAST UPDATED 2024-03-20 19:58:21 UTC
LAST UPDATED 2024-03-20 19:58:21 UTC
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