License holder summary

ALEXANDRIA RENTERIA is a Board Of Medicine licensed to practice in Idaho. The address on file for ALEXANDRIA RENTERIA is 5440 Highway 95 New Meadows ID 83654. This licensed professional license is not current. The license was granted 04/30/1993 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

ALEXANDRIA RENTERIA
Board Of Medicine
License number
LRT-399
Date granted
04/30/1993
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
5440 Highway 95 New Meadows ID 83654
idaholicensing.com
ID 48353882
LAST UPDATED 2024-03-14 03:43:52 UTC

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