Idaho
Division of Occupational and Professional Licenses
ANDREA HATAWAY THOMPSON
Board Of Medicine
License number
M-5738
Date granted
08/15/1990
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
215 E Hawaii Ave Nampa ID 83686
idaholicensing.com
ID 48359499
LAST UPDATED 2024-04-12 09:30:35 UTC
LAST UPDATED 2024-04-12 09:30:35 UTC
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