License holder summary

ANDREA G PAYNE is a Board Of Medicine licensed to practice in Idaho. The address on file for ANDREA G PAYNE is 3592 S BO DANIEL PL NAMPA ID 83687. This licensed professional license is not current. The license was granted 05/12/2014 and expired on 08/01/2016.

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

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