Idaho
Division of Occupational and Professional Licenses
WILLIAM CONRAD DIR
Board Of Medicine
License number
M-9046
Date granted
05/20/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
415 6th Street Lewiston ID 83501
idaholicensing.com
ID 48345169
LAST UPDATED 2024-03-03 11:55:52 UTC
LAST UPDATED 2024-03-03 11:55:52 UTC
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