Idaho
Division of Occupational and Professional Licenses
TERRY DEE YACKLEY
Board Of Medicine
License number
LRT-1672
Date granted
11/06/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
264 S BYRON AVE SHELLEY ID 83274
idaholicensing.com
ID 48356347
LAST UPDATED 2024-02-27 15:32:58 UTC
LAST UPDATED 2024-02-27 15:32:58 UTC
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