Idaho
Division of Occupational and Professional Licenses
ANNETTE MARIE AXTELL
Board Of Medicine
License number
D-490
Date granted
04/21/2006
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
16421 S CHENEY SPOKANE RD CHENEY WA 99004
idaholicensing.com
ID 48339579
LAST UPDATED 2024-02-20 00:59:54 UTC
LAST UPDATED 2024-02-20 00:59:54 UTC
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