Idaho
Division of Occupational and Professional Licenses
TAMI LYN MULLARD
Board Of Medicine
License number
LRT-404
Date granted
06/07/1993
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
700 Crystal St KIMBERLY ID 83341
idaholicensing.com
ID 48359636
LAST UPDATED 2024-03-19 23:49:21 UTC
LAST UPDATED 2024-03-19 23:49:21 UTC
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