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 2024-05-07 20:17:52 UTC
LAST UPDATED 2024-05-07 20:17:52 UTC
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