Idaho
Division of Occupational and Professional Licenses
CHARITY KRISTIN TUCKER
Board Of Medicine
License number
AT-255
Date granted
12/21/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2506 N CHATTERTON AVE MERIDIAN ID 83646
idaholicensing.com
ID 48372667
LAST UPDATED 2024-03-02 12:23:19 UTC
LAST UPDATED 2024-03-02 12:23:19 UTC
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