Idaho
Division of Occupational and Professional Licenses
TAHRA SIAVASH SOOFI
Board Of Medicine
License number
PAT-1118
Date granted
09/11/2013
Date expires
08/07/2015
Class
Board Of Medicine
Status
Expired
Address
388 VISTA DRIVE POCATELLO ID 83201
idaholicensing.com
ID 48350033
LAST UPDATED 2024-03-07 09:04:27 UTC
LAST UPDATED 2024-03-07 09:04:27 UTC
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