Idaho
Division of Occupational and Professional Licenses
MELISSA ANN MADSEN
Board Of Medicine
License number
PAT-821
Date granted
09/16/2010
Date expires
08/03/2012
Class
Board Of Medicine
Status
Expired
Address
10180 DASON DR BOISE ID 83704
idaholicensing.com
ID 48329995
LAST UPDATED 2024-03-04 03:29:05 UTC
LAST UPDATED 2024-03-04 03:29:05 UTC
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