License holder summary

AMANDA ANNE PENNEWILL is a Board Of Medicine licensed to practice in Idaho. The address on file for AMANDA ANNE PENNEWILL is 2418 39TH ST APT 302 MISSOULA MT 59803. This licensed professional license is not current. The license was granted 11/10/2014 and expired on 04/11/2016.

Idaho

Division of Occupational and Professional Licenses

AMANDA ANNE PENNEWILL
Board Of Medicine
License number
RTS-713
Date granted
11/10/2014
Date expires
04/11/2016
Class
Board Of Medicine
Status
Expired
Address
2418 39TH ST APT 302 MISSOULA MT 59803
idaholicensing.com
ID 48349215
LAST UPDATED 2024-04-17 05:44:57 UTC

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