Idaho
Division of Occupational and Professional Licenses
AMANDA M MOON
Board Of Medicine
License number
D-738
Date granted
11/06/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
171 DAVIS DR POCATELLO ID 83201
idaholicensing.com
ID 48359315
LAST UPDATED 2024-04-18 17:33:02 UTC
LAST UPDATED 2024-04-18 17:33:02 UTC
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