Idaho
Division of Occupational and Professional Licenses
MICHELLE WARD FARLEY
Board Of Medicine
License number
AT-101
Date granted
12/02/1994
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
5146 S ADONIS WAY BOISE ID 83716
idaholicensing.com
ID 48349308
LAST UPDATED 2024-03-10 08:21:25 UTC
LAST UPDATED 2024-03-10 08:21:25 UTC
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