Idaho
Division of Occupational and Professional Licenses
PHILIP GORDON OWEN
Board Of Medicine
License number
M-7925
Date granted
01/21/2000
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
205 W Boutz Rd Bldg 1 Las Cruces NM 88005
idaholicensing.com
ID 48386230
LAST UPDATED 2024-03-29 08:15:28 UTC
LAST UPDATED 2024-03-29 08:15:28 UTC
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