MELISSA ANN MADSEN
Idaho PAT-821 Expired
This Idaho license was held by MELISSA ANN MADSEN. The license is no longer active. It was granted on 09/16/2010 and expired on 08/03/2012
LICENSE DETAILS
- License Number: PAT-821
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/16/2010 (over 14 years ago)
- Expiry Date: 08/03/2012 (almost 13 years ago)
LOCATIONS
A Residential
10180 DASON DR BOISE ID 83704