License holder summary

DIANE ELIZABETH SMITH is a Board Of Medicine licensed to practice in Idaho. The address on file for DIANE ELIZABETH SMITH is 901 W CHURCH AVE RIDGECREST CA 93555. This licensed professional license is not current. The license was granted 07/27/2010 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

DIANE ELIZABETH SMITH
Board Of Medicine
License number
LRT-1469
Date granted
07/27/2010
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
901 W CHURCH AVE RIDGECREST CA 93555
idaholicensing.com
ID 48369230
LAST UPDATED 2024-02-21 18:35:27 UTC

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