License holder summary

MICAELA MARIE HITCHCOCK is a Board Of Medicine licensed to practice in Idaho. The address on file for MICAELA MARIE HITCHCOCK is 2149 N MIDDLEFIELD RD BOISE ID 83704. This licensed professional license is current. The license was granted 06/10/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MICAELA MARIE HITCHCOCK
Board Of Medicine
License number
LRT-1375
Date granted
06/10/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2149 N MIDDLEFIELD RD BOISE ID 83704
idaholicensing.com
ID 48343612
LAST UPDATED 2024-03-26 02:42:28 UTC

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