TIFFANY ROSE SMITH
Idaho PAT-1202 Expired
This Idaho license was held by TIFFANY ROSE SMITH. The license is no longer active. It was granted on 09/25/2014 and expired on 08/05/2016
LICENSE DETAILS
- License Number: PAT-1202
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/25/2014 (over 10 years ago)
- Expiry Date: 08/05/2016 (almost 9 years ago)
LOCATIONS
A Residential
119 TOPONCE DR POCATELLO ID 83204