Idaho
Division of Occupational and Professional Licenses
PHILIP SULLIVAN
Board Of Medicine
License number
M-6898
Date granted
12/02/1995
Class
Board Of Medicine
Status
Active
Address
PO Box 177 Evanston WY 82931
idaholicensing.com
ID 48355462
LAST UPDATED 2024-04-05 04:49:13 UTC
LAST UPDATED 2024-04-05 04:49:13 UTC
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