License holder summary

TATYANA I BALL is a Board Of Medicine licensed to practice in Idaho. The address on file for TATYANA I BALL is 5929 N Standard st Spokane WA 99208. This licensed professional license is not current. The license was granted 05/24/2011 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

TATYANA I BALL
Board Of Medicine
License number
LRT-1522
Date granted
05/24/2011
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
5929 N Standard st Spokane WA 99208
idaholicensing.com
ID 48335744
LAST UPDATED 2024-05-08 00:02:17 UTC

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