License holder summary

AMY LYNN ELLSWORTH is a Board Of Medicine licensed to practice in Idaho. The address on file for AMY LYNN ELLSWORTH is 9323 Government Way Hayden ID 83835. This licensed professional license is current. The license was granted 11/06/2012 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

AMY LYNN ELLSWORTH
Board Of Medicine
License number
PA-1022
Date granted
11/06/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
9323 Government Way Hayden ID 83835
idaholicensing.com
ID 48357496
LAST UPDATED 2024-02-05 08:14:13 UTC

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