License holder summary

COLLEEN RENE ASUMENDI FILLMORE is a Board Of Medicine licensed to practice in Idaho. The address on file for COLLEEN RENE ASUMENDI FILLMORE is 7784 West Bayhill St. BOISE ID 83704. This licensed professional license is current. The license was granted 06/18/1997 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

COLLEEN RENE ASUMENDI FILLMORE
Board Of Medicine
License number
D-264
Date granted
06/18/1997
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
7784 West Bayhill St. BOISE ID 83704
idaholicensing.com
ID 48349913
LAST UPDATED 2024-03-25 13:14:21 UTC

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