Idaho
Division of Occupational and Professional Licenses
RANIE WILLIAM PENDARVIS
Board Of Medicine
License number
M-9262
Date granted
04/08/2005
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
6217 FAIRWAY BAY BLVD. S SAINT PETERSBURG FL 33707
idaholicensing.com
ID 48362248
LAST UPDATED 2024-04-13 13:18:04 UTC
LAST UPDATED 2024-04-13 13:18:04 UTC
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