Idaho
Division of Occupational and Professional Licenses
PATRICIO HERNAN MUJICA
Board Of Medicine
License number
M-7976
Date granted
04/30/2000
Date expires
06/30/2002
Class
Board Of Medicine
Status
Canceled
Address
12 High St Ste 401 Lewiston ME 04240
idaholicensing.com
ID 48354068
LAST UPDATED 2026-05-27 05:51:56 UTC
LAST UPDATED 2026-05-27 05:51:56 UTC
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