Idaho
Division of Occupational and Professional Licenses
RICHARD JOHN IVIE
Board Of Medicine
License number
LRT-348
Date granted
06/02/1992
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
PO Box 3104 Hailey ID 83333
idaholicensing.com
ID 48354189
LAST UPDATED 2024-03-30 14:31:03 UTC
LAST UPDATED 2024-03-30 14:31:03 UTC
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