Idaho
Division of Occupational and Professional Licenses
BARBARA ANN MICHAELIS
Board Of Medicine
License number
M-8522
Date granted
06/07/2002
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
531 Fourth Ave Lewiston ID 83501
idaholicensing.com
ID 48334012
LAST UPDATED 2024-01-31 17:04:20 UTC
LAST UPDATED 2024-01-31 17:04:20 UTC
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