Idaho
Division of Occupational and Professional Licenses
ROGER SCOTT MALM
Board Of Medicine
License number
PA-220
Date granted
10/02/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
777 Hospital Way Pocatello ID 83201
idaholicensing.com
ID 48357206
LAST UPDATED 2024-02-06 03:23:15 UTC
LAST UPDATED 2024-02-06 03:23:15 UTC
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