ANDREA G PAYNE
Idaho D-821 Canceled
This Idaho license was held by ANDREA G PAYNE. The license is no longer active. It was granted on 05/12/2014 and expired on 08/01/2016
LICENSE DETAILS
- License Number: D-821
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/12/2014 (about 11 years ago)
- Expiry Date: 08/01/2016 (almost 9 years ago)
LOCATIONS
A Residential
3592 S BO DANIEL PL NAMPA ID 83687