Idaho
Division of Occupational and Professional Licenses
WILLIAM JACOB PEVSNER
Board Of Medicine
License number
O-167
Date granted
01/23/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1334 W Covina Blvd Ste 103 SAN DIMAS CA 91773
idaholicensing.com
ID 48349003
LAST UPDATED 2024-03-29 00:26:31 UTC
LAST UPDATED 2024-03-29 00:26:31 UTC
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