TARA ANNE KISHPAUGH
Idaho AT-280 Renewed
This Idaho license is held by TARA ANNE KISHPAUGH. The license is currently active. It was granted on 04/21/2006 and expired on 06/30/2017
LICENSE DETAILS
- License Number: AT-280
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 04/21/2006 (almost 18 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
574 N. Park Ln. EAGLE ID 83616
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