Idaho
Division of Occupational and Professional Licenses
ANDREA LYNN GRIM
Board Of Medicine
License number
D-786
Date granted
09/10/2013
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
7204 WYETH PL NEWARK DE 19702
idaholicensing.com
ID 48351734
LAST UPDATED 2024-05-02 02:32:10 UTC
LAST UPDATED 2024-05-02 02:32:10 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.