Idaho
Division of Occupational and Professional Licenses
ROGER G. POTRATZ
Board Of Medicine
License number
LRT-247
Date granted
01/10/1992
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
E 14408 22nd Ave Veradale WA 99037
idaholicensing.com
ID 48361652
LAST UPDATED 2024-05-03 09:53:36 UTC
LAST UPDATED 2024-05-03 09:53:36 UTC
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