Idaho
Division of Occupational and Professional Licenses
Dr. CONNIE ANN INNIS
Board Of Medicine
License number
M-13245
Date granted
04/08/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
360 3RD ST SUITE 425 SAN FRANCISCO CA 94107
idaholicensing.com
ID 48360234
LAST UPDATED 2024-03-07 00:56:31 UTC
LAST UPDATED 2024-03-07 00:56:31 UTC
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