Idaho
Division of Occupational and Professional Licenses
TY BOLTON ERICKSON
Board Of Medicine
License number
M-6628
Date granted
12/03/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3450 Potomac IDAHO FALLS ID 83404
idaholicensing.com
ID 48343518
LAST UPDATED 2024-04-26 23:59:16 UTC
LAST UPDATED 2024-04-26 23:59:16 UTC
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