AMANDA M MOON
Idaho D-738 Renewed
This Idaho license is held by AMANDA M MOON. The license is currently active. It was granted on 11/06/2012 and expired on 06/30/2017
LICENSE DETAILS
- License Number: D-738
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 11/06/2012 (over 11 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
171 DAVIS DR POCATELLO ID 83201
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