AMY LYNN ELLSWORTH
Idaho PA-1022 Renewed
This Idaho license is held by AMY LYNN ELLSWORTH. The license is currently active. It was granted on 11/06/2012 and expired on 06/30/2017
LICENSE DETAILS
- License Number: PA-1022
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 11/06/2012 (almost 14 years ago)
- Expiry Date: 06/30/2017 (about 9 years ago)
LOCATIONS
A Residential
9323 Government Way Hayden ID 83835
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