MELISSA ANN HERBST
Idaho M-9327 Canceled
This Idaho license was held by MELISSA ANN HERBST. The license is no longer active. It was granted on 07/01/2005 and expired on 08/01/2014
LICENSE DETAILS
- License Number: M-9327
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/01/2005 (almost 20 years ago)
- Expiry Date: 08/01/2014 (almost 11 years ago)
LOCATIONS
A Residential
6302 Crestmount Drive Salt Lake City UT 84121