Idaho
Division of Occupational and Professional Licenses
PHILLIP LUCKEY LUCKEY
Board Of Medicine
License number
AT-014
Date granted
11/01/1989
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
1365 Santa Anita Pocatello ID 83201
idaholicensing.com
ID 48357922
LAST UPDATED 2024-03-11 01:57:55 UTC
LAST UPDATED 2024-03-11 01:57:55 UTC
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