License holder summary

Dr. TRACY ANN MANUCK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. TRACY ANN MANUCK is 30 N 1900 E STE 2B200 SALT LAKE CITY UT 84132. This licensed professional license is not current. The license was granted 06/28/2010 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

Dr. TRACY ANN MANUCK
Board Of Medicine
License number
M-11049
Date granted
06/28/2010
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
30 N 1900 E STE 2B200 SALT LAKE CITY UT 84132
idaholicensing.com
ID 48360877
LAST UPDATED 2024-03-08 23:45:09 UTC

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