Idaho
Division of Occupational and Professional Licenses
ANDREA R MOORE
Board Of Medicine
License number
PAT-686
Date granted
11/04/2008
Date expires
12/19/2008
Class
Board Of Medicine
Status
Expired
Address
962 NE 6TH AVE HILLSBORO OR 97124
idaholicensing.com
ID 48359329
LAST UPDATED 2024-05-01 01:59:06 UTC
LAST UPDATED 2024-05-01 01:59:06 UTC
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