Idaho
Division of Occupational and Professional Licenses
PAUL D. AMMATELLI
Board Of Medicine
License number
MRM-361
Date granted
08/25/1992
Class
Board Of Medicine
Status
Canceled
Address
100 W. El Pelar Boise ID 83702
idaholicensing.com
ID 48335961
LAST UPDATED 2024-04-02 19:40:55 UTC
LAST UPDATED 2024-04-02 19:40:55 UTC
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