Idaho
Division of Occupational and Professional Licenses
AMANDA JAYE HUMPHREYS
Board Of Medicine
License number
D-930
Date granted
06/23/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1665 FOXMORE ST POCATELLO ID 83204
idaholicensing.com
ID 48349414
LAST UPDATED 2024-03-05 23:19:06 UTC
LAST UPDATED 2024-03-05 23:19:06 UTC
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