Idaho
Division of Occupational and Professional Licenses
AMANDA DAWN COOK
Board Of Medicine
License number
LRT-959
Date granted
09/23/2002
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
1708 N JUNIPER SILVER CITY NM 88061
idaholicensing.com
ID 48344113
LAST UPDATED 2024-02-21 15:31:03 UTC
LAST UPDATED 2024-02-21 15:31:03 UTC
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