Idaho
Division of Occupational and Professional Licenses
SUSAN LEIGH PRUITT
Board Of Medicine
License number
D-720
Date granted
07/10/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
749 W DOLAN RD RATHDRUM ID 83858
idaholicensing.com
ID 48355311
LAST UPDATED 2024-02-03 06:58:25 UTC
LAST UPDATED 2024-02-03 06:58:25 UTC
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