Idaho
Kootenai
Coeur D Alene
Ophthalmology
canceled
G26996
male
1972
medical activities:
no activities identified
license issued on June 24, 1974;
Ophthalmologist
Specialist for: Ophthalmology
St. Louis University School of Medicine (graduated in 1972)
Graduated in year 1972, Medical School: Saint Louis University School of Medicine, Saint Louis, MO 63104
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Profile ID: FRUS-MDS-P-52784