License holder summary

AMBER ANN HACKENBERG is a Board Of Medicine licensed to practice in Idaho. The address on file for AMBER ANN HACKENBERG is 1906 Fairview Ave STE 230 Caldwell ID 83605. This licensed professional license is current. The license was granted 11/02/2011 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

AMBER ANN HACKENBERG
Board Of Medicine
License number
PA-948
Date granted
11/02/2011
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
1906 Fairview Ave STE 230 Caldwell ID 83605
idaholicensing.com
ID 48329331
LAST UPDATED 2024-02-02 17:11:25 UTC

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