Idaho
Division of Occupational and Professional Licenses
AMANDA JOY CLEVENGER
Board Of Medicine
License number
PGT-073
Date granted
01/21/2010
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
2619 SADLER LN MELBOURNE FL 32935
idaholicensing.com
ID 48343734
LAST UPDATED 2026-05-19 18:08:11 UTC
LAST UPDATED 2026-05-19 18:08:11 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.