Idaho
Division of Occupational and Professional Licenses
Dr. DAVID MICHAEL ANTHONY MACIAS
Board Of Medicine
License number
M-12514
Date granted
06/17/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
1624 TAYLOR THURSTON RD COLUMBUS MS 39701
idaholicensing.com
ID 48329537
LAST UPDATED 2024-03-18 09:57:51 UTC
LAST UPDATED 2024-03-18 09:57:51 UTC
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