Idaho
Division of Occupational and Professional Licenses
PAUL MICHAEL FORD
Board Of Medicine
License number
LRT-989
Date granted
03/12/2003
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
2718 Balboa Dr. Idaho Falls ID 83403
idaholicensing.com
ID 48350137
LAST UPDATED 2024-03-22 08:40:59 UTC
LAST UPDATED 2024-03-22 08:40:59 UTC
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