Idaho
Division of Occupational and Professional Licenses
URSULA MERRELL NORTHINGTON
Board Of Medicine
License number
LRT-1727
Date granted
07/31/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2648 N MONACO WAY Meridian ID 83646
idaholicensing.com
ID 48351908
LAST UPDATED 2024-03-03 00:42:06 UTC
LAST UPDATED 2024-03-03 00:42:06 UTC
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