Idaho
Division of Occupational and Professional Licenses
Dr. MONICA ELIZABETH DE BACA
Board Of Medicine
License number
M-12873
Date granted
04/02/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
19505 52nd Ave. W, Suite A Lynnwood WA 98036
idaholicensing.com
ID 48329308
LAST UPDATED 2024-04-04 10:19:31 UTC
LAST UPDATED 2024-04-04 10:19:31 UTC
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