AMY LYNN ELLSWORTH
Idaho PAT-813 Expired
This Idaho license was held by AMY LYNN ELLSWORTH. The license is no longer active. It was granted on 09/16/2010 and expired on 08/03/2012
LICENSE DETAILS
- License Number: PAT-813
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/16/2010 (almost 16 years ago)
- Expiry Date: 08/03/2012 (about 14 years ago)
LOCATIONS
A Residential
9323 Government Way Hayden ID 83835