ANN MARIE BLACK
Idaho D-447 Canceled
This Idaho license was held by ANN MARIE BLACK. The license is no longer active. It was granted on 08/25/2004 and expired on 08/01/2014
LICENSE DETAILS
- License Number: D-447
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/25/2004 (over 20 years ago)
- Expiry Date: 08/01/2014 (over 10 years ago)
LOCATIONS
A Residential
2435 S 2010 E SAINT GEORGE UT 84790