Idaho
Division of Occupational and Professional Licenses
SUSAN LA RAY SMITH
Board Of Medicine
License number
LRT-086
Date granted
11/20/1991
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 245 MOUNT VERNON OR 97865
idaholicensing.com
ID 48369465
LAST UPDATED 2024-02-18 01:47:12 UTC
LAST UPDATED 2024-02-18 01:47:12 UTC
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