Idaho
Division of Occupational and Professional Licenses
SUZETTE BALA
Board Of Medicine
License number
PSG-095
Date granted
02/03/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
625 north meridian Blackfoot ID 83221
idaholicensing.com
ID 48335693
LAST UPDATED 2024-04-26 12:15:42 UTC
LAST UPDATED 2024-04-26 12:15:42 UTC
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