License holder summary

CARLA MARY MANNON is a Board Of Medicine licensed to practice in Idaho. The address on file for CARLA MARY MANNON is 201 S ASBURY ST APT 1 MOSCOW ID 83843. This licensed professional license is current. The license was granted 05/12/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

CARLA MARY MANNON
Board Of Medicine
License number
LRT-1943
Date granted
05/12/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
201 S ASBURY ST APT 1 MOSCOW ID 83843
idaholicensing.com
ID 48360427
LAST UPDATED 2026-04-28 08:48:01 UTC

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