Idaho
Division of Occupational and Professional Licenses
PHILIP DAVID FORD
Board Of Medicine
License number
AT-527
Date granted
08/14/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5978 S Tulip Pl BOISE ID 83716
idaholicensing.com
ID 48350138
LAST UPDATED 2024-02-06 02:13:36 UTC
LAST UPDATED 2024-02-06 02:13:36 UTC
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