Idaho
Division of Occupational and Professional Licenses
TEMP RAY PATTERSON
Board Of Medicine
License number
M-7021
Date granted
06/13/1996
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1338 HILAND AVE, SUITE C BURLEY ID 83318
idaholicensing.com
ID 48362221
LAST UPDATED 2026-05-20 06:30:39 UTC
LAST UPDATED 2026-05-20 06:30:39 UTC
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