Idaho
Division of Occupational and Professional Licenses
Dr. HEATHER ELLSWORTH
Board Of Medicine
License number
M-11708
Date granted
07/13/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
ST LUKES MAGIC VALLEY MC TWIN FALLS ID 83301
idaholicensing.com
ID 48357502
LAST UPDATED 2024-04-15 00:32:04 UTC
LAST UPDATED 2024-04-15 00:32:04 UTC
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