Idaho
Division of Occupational and Professional Licenses
AMANDA MORGAN MACKIE
Board Of Medicine
License number
D-379
Date granted
10/10/2001
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
2018 ADDERBURY LN MADISON WI 53711
idaholicensing.com
ID 48329560
LAST UPDATED 2024-01-31 17:18:38 UTC
LAST UPDATED 2024-01-31 17:18:38 UTC
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