License holder summary

Dr. MARY SUSANNE PLACEK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. MARY SUSANNE PLACEK is WVP INDEPENDENCE-MONMOUTH Independence OR 97351. This licensed professional license is not current. The license was granted 06/10/2013 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

Dr. MARY SUSANNE PLACEK
Board Of Medicine
License number
M-12048
Date granted
06/10/2013
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
WVP INDEPENDENCE-MONMOUTH Independence OR 97351
idaholicensing.com
ID 48329637
LAST UPDATED 2024-04-08 15:33:28 UTC

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