MEGAN ANN MACCONNEL
Idaho D-204 Canceled
This Idaho license was held by MEGAN ANN MACCONNEL. The license is no longer active. It was granted on 01/26/1995 and expired on 07/08/2004
LICENSE DETAILS
- License Number: D-204
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 01/26/1995 (over 30 years ago)
- Expiry Date: 07/08/2004 (almost 21 years ago)
LOCATIONS
A Residential
395 12th St Idaho Falls ID 83404