Idaho
Division of Occupational and Professional Licenses
ASHLEY RENEE NEWSOM
Board Of Medicine
License number
LRT-1022
Date granted
09/08/2003
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
4007 Elm Ave Apt 106 Rapid City SD 57701
idaholicensing.com
ID 48349202
LAST UPDATED 2024-04-16 20:48:35 UTC
LAST UPDATED 2024-04-16 20:48:35 UTC
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