Idaho
Division of Occupational and Professional Licenses
ANNTARA SMITH
Board Of Medicine
License number
PA-482
Date granted
11/25/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1311 E CENTRAL DR MERIDIAN ID 83642
idaholicensing.com
ID 48355334
LAST UPDATED 2024-03-19 11:35:14 UTC
LAST UPDATED 2024-03-19 11:35:14 UTC
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