License holder summary

ALISSA LEE MUMFORD is a Board Of Medicine licensed to practice in Idaho. The address on file for ALISSA LEE MUMFORD is 9855 SE EASTMONT DR DAMASCUS OR 97089. This licensed professional license is not current. The license was granted 05/01/2012 and expired on 06/29/2012.

Idaho

Division of Occupational and Professional Licenses

ALISSA LEE MUMFORD
Board Of Medicine
License number
PAT-966
Date granted
05/01/2012
Date expires
06/29/2012
Class
Board Of Medicine
Status
Expired
Address
9855 SE EASTMONT DR DAMASCUS OR 97089
idaholicensing.com
ID 48350272
LAST UPDATED 2024-02-20 17:56:26 UTC

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