License holder summary

DANIELLE JEANETTE GREEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DANIELLE JEANETTE GREEN is 306 S HALL GRANGEVILLE ID 83530. This licensed professional license is not current. The license was granted 05/20/2013 and expired on 06/30/2016.

Idaho

Division of Occupational and Professional Licenses

DANIELLE JEANETTE GREEN
Board Of Medicine
License number
MSM-0257
Date granted
05/20/2013
Date expires
06/30/2016
Class
Board Of Medicine
Status
Expired
Address
306 S HALL GRANGEVILLE ID 83530
idaholicensing.com
ID 48347022
LAST UPDATED 2024-04-09 08:54:17 UTC

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