Idaho
Division of Occupational and Professional Licenses
PAULA BRUTZ PHELPS
Board Of Medicine
License number
PA-166
Date granted
08/21/1995
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
ISU PA Program POCATELLO ID 83209
idaholicensing.com
ID 48357478
LAST UPDATED 2024-04-15 00:03:57 UTC
LAST UPDATED 2024-04-15 00:03:57 UTC
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