Idaho
Division of Occupational and Professional Licenses
SUSAN ELIZABETH PAYTASH
Board Of Medicine
License number
PA-596
Date granted
01/31/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2141 E PARKCENTER BLVD BOISE ID 83706
idaholicensing.com
ID 48340069
LAST UPDATED 2024-04-13 23:31:45 UTC
LAST UPDATED 2024-04-13 23:31:45 UTC
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