Idaho
Division of Occupational and Professional Licenses
RYAN WILLIAM BLACK
Board Of Medicine
License number
PA-1225
Date granted
01/05/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
543 GLENNWOOD CIR RIGBY ID 83442
idaholicensing.com
ID 48329248
LAST UPDATED 2024-03-27 20:22:31 UTC
LAST UPDATED 2024-03-27 20:22:31 UTC
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