Idaho
Division of Occupational and Professional Licenses
ANNIE IONE CAMPBELL
Board Of Medicine
License number
PA-507
Date granted
09/14/2004
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
115 Main Street Ste. 101 Boise ID 83712
idaholicensing.com
ID 48336037
LAST UPDATED 2024-03-08 00:04:33 UTC
LAST UPDATED 2024-03-08 00:04:33 UTC
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