Idaho
Division of Occupational and Professional Licenses
Dr. ANDREA DAWN AXTELL
Board Of Medicine
License number
M-11047
Date granted
06/28/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5995 W. State St. Boise ID 83703
idaholicensing.com
ID 48339578
LAST UPDATED 2024-05-04 13:08:43 UTC
LAST UPDATED 2024-05-04 13:08:43 UTC
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