Idaho
Division of Occupational and Professional Licenses
TERI LYNN HLAVACS
Board Of Medicine
License number
M-8855
Date granted
08/22/2003
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
1033 ROYAL PASS RD TAMPA FL 33602
idaholicensing.com
ID 48329340
LAST UPDATED 2024-02-23 13:33:30 UTC
LAST UPDATED 2024-02-23 13:33:30 UTC
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