Idaho
Division of Occupational and Professional Licenses
AMY MICHELLE IVY
Board Of Medicine
License number
LRT-1024
Date granted
09/09/2003
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
8187 WATERCRESS AVE NAMPA ID 83687
idaholicensing.com
ID 48355409
LAST UPDATED 2024-03-21 09:40:36 UTC
LAST UPDATED 2024-03-21 09:40:36 UTC
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