MS. MELYNDA LEWIS
Idaho RTS-509 Upgraded
This Idaho license was held by MS. MELYNDA LEWIS. The license is no longer active. It was granted on 09/26/2012
LICENSE DETAILS
- License Number: RTS-509
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 09/26/2012 (over 12 years ago)
LOCATIONS
A Residential
11251 W PORTOLA ST BOISE ID 83709