Idaho
Division of Occupational and Professional Licenses
ROLIN ALAN PRUYN
Board Of Medicine
License number
RTS-125
Date granted
12/31/2007
Date expires
03/15/2009
Class
Board Of Medicine
Status
Expired
Address
4526 RIO VISTA MISSOULA MT 59803
idaholicensing.com
ID 48362485
LAST UPDATED 2024-02-19 21:13:33 UTC
LAST UPDATED 2024-02-19 21:13:33 UTC
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