Idaho
Division of Occupational and Professional Licenses
RANDALL M. PATTEN
Board Of Medicine
License number
M-5072
Date granted
07/07/1986
Date expires
06/24/1982
Class
Board Of Medicine
Status
Canceled
Address
10624 N.E. 14th Street Bellevue WA 98004
idaholicensing.com
ID 48338435
LAST UPDATED 2024-03-07 00:53:25 UTC
LAST UPDATED 2024-03-07 00:53:25 UTC
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