MS MELISSA ANN SPACEK
Idaho AT-449 Canceled
This Idaho license was held by MS MELISSA ANN SPACEK. The license is no longer active. It was granted on 11/06/2012 and expired on 08/01/2013
LICENSE DETAILS
- License Number: AT-449
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 11/06/2012 (over 11 years ago)
- Expiry Date: 08/01/2013 (almost 11 years ago)
LOCATIONS
A Residential
11614 E VALLEY WAY SPOKANE WA 99206