MICHELLE WARD FARLEY
Idaho AT-101 Canceled
This Idaho license was held by MICHELLE WARD FARLEY. The license is no longer active. It was granted on 12/02/1994 and expired on 06/30/2005
LICENSE DETAILS
- License Number: AT-101
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 12/02/1994 (over 30 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Residential
5146 S ADONIS WAY BOISE ID 83716