Dr. TARA Sibert WHITAKER
Idaho MRM-1180 Upgraded
This Idaho license was held by Dr. TARA Sibert WHITAKER. The license is no longer active. It was granted on 06/01/2011
LICENSE DETAILS
- License Number: MRM-1180
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 06/01/2011 (almost 14 years ago)
LOCATIONS
A Residential
1520 W State St Boise ID 83702