License holder summary

DANIEL STEPHEN MALLOY is a Board Of Medicine licensed to practice in Idaho. The address on file for DANIEL STEPHEN MALLOY is 4623 N Chelmsford Ave BOISE ID 83713. This licensed professional license is current. The license was granted 09/28/1998 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DANIEL STEPHEN MALLOY
Board Of Medicine
License number
LRT-741
Date granted
09/28/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4623 N Chelmsford Ave BOISE ID 83713
idaholicensing.com
ID 48357455
LAST UPDATED 2024-03-26 01:26:45 UTC

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