License holder summary

DIANA EVGENIEVA VELIKOVA is a Board Of Medicine licensed to practice in Idaho. The address on file for DIANA EVGENIEVA VELIKOVA is 237 Professional Way Shelton WA 98584. This licensed professional license is not current. The license was granted 08/28/2003 and expired on 06/30/2004.

Idaho

Division of Occupational and Professional Licenses

DIANA EVGENIEVA VELIKOVA
Board Of Medicine
License number
M-8858
Date granted
08/28/2003
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
237 Professional Way Shelton WA 98584
idaholicensing.com
ID 48354418
LAST UPDATED 2026-05-05 00:56:02 UTC

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