Idaho
Division of Occupational and Professional Licenses
THEODORE A WALTERS
Board Of Medicine
License number
M-3117
Date granted
01/07/1973
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1923 S. Roosevelt Boise ID 83705
idaholicensing.com
ID 48357876
LAST UPDATED 2024-02-02 11:39:46 UTC
LAST UPDATED 2024-02-02 11:39:46 UTC
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