Idaho
Division of Occupational and Professional Licenses
ANDREA G PAYNE
Board Of Medicine
License number
D-821
Date granted
05/12/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
3592 S BO DANIEL PL NAMPA ID 83687
idaholicensing.com
ID 48340044
LAST UPDATED 2024-05-16 08:06:02 UTC
LAST UPDATED 2024-05-16 08:06:02 UTC
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