License holder summary

CRYSTAL ANN MILLER is a Board Of Medicine licensed to practice in Idaho. The address on file for CRYSTAL ANN MILLER is 365 NE TORVAL CANYON RD POULSBO WA 98370. This licensed professional license is not current. The license was granted 07/01/2015 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

CRYSTAL ANN MILLER
Board Of Medicine
License number
LRT-1889
Date granted
07/01/2015
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
365 NE TORVAL CANYON RD POULSBO WA 98370
idaholicensing.com
ID 48358631
LAST UPDATED 2024-04-13 20:54:40 UTC

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