License holder summary

Dr. PAULA Jean FORMOSA is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. PAULA Jean FORMOSA is 55 IDEAL DRIVE SANDPOINT ID 83864. This licensed professional license is current. The license was granted 10/04/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. PAULA Jean FORMOSA
Board Of Medicine
License number
M-12176
Date granted
10/04/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
55 IDEAL DRIVE SANDPOINT ID 83864
idaholicensing.com
ID 48350145
LAST UPDATED 2024-03-04 14:09:27 UTC

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