License holder summary

AMANDA DAWN MOFFITT is a Board Of Medicine licensed to practice in Idaho. The address on file for AMANDA DAWN MOFFITT is 2508 INDUSTRY ROAD #B MISSOULA MT 59802. This licensed professional license is not current. The license was granted 12/29/2004 and expired on 05/31/2005.

Idaho

Division of Occupational and Professional Licenses

AMANDA DAWN MOFFITT
Board Of Medicine
License number
RTS-038
Date granted
12/29/2004
Date expires
05/31/2005
Class
Board Of Medicine
Status
Expired
Address
2508 INDUSTRY ROAD #B MISSOULA MT 59802
idaholicensing.com
ID 48349854
LAST UPDATED 2024-03-11 10:00:10 UTC

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