AMANDA MORGAN MACKIE
Idaho D-379 Canceled
This Idaho license was held by AMANDA MORGAN MACKIE. The license is no longer active. It was granted on 10/10/2001 and expired on 06/30/2006
LICENSE DETAILS
- License Number: D-379
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 10/10/2001 (over 22 years ago)
- Expiry Date: 06/30/2006 (about 18 years ago)
LOCATIONS
A Residential
2018 ADDERBURY LN MADISON WI 53711