License holder summary

AMY DEANNE CAVALLARO is a Board Of Medicine licensed to practice in Idaho. The address on file for AMY DEANNE CAVALLARO is PO BOX 935 BEND OR 97709. This licensed professional license is not current. The license was granted 03/13/2009 and expired on 08/01/2011.

Idaho

Division of Occupational and Professional Licenses

AMY DEANNE CAVALLARO
Board Of Medicine
License number
LRT-1356
Date granted
03/13/2009
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 935 BEND OR 97709
idaholicensing.com
ID 48335856
LAST UPDATED 2024-03-02 19:48:50 UTC

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