Idaho
Division of Occupational and Professional Licenses
BETH ANNE CISCO
Board Of Medicine
License number
LRT-945
Date granted
08/14/2002
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
205 S. Aerie Ct. Post Falls ID 83854
idaholicensing.com
ID 48343312
LAST UPDATED 2024-04-13 00:33:51 UTC
LAST UPDATED 2024-04-13 00:33:51 UTC
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