License holder summary

EILEEN IRENE DOUGLASS is a Board Of Medicine licensed to practice in Idaho. The address on file for EILEEN IRENE DOUGLASS is 835 Tiffany Court Los Alamos NM 87544. This licensed professional license is not current. The license was granted 12/12/1994 and expired on 06/30/1999.

Idaho

Division of Occupational and Professional Licenses

EILEEN IRENE DOUGLASS
Board Of Medicine
License number
D-040
Date granted
12/12/1994
Date expires
06/30/1999
Class
Board Of Medicine
Status
Canceled
Address
835 Tiffany Court Los Alamos NM 87544
idaholicensing.com
ID 48337780
LAST UPDATED 2024-02-02 01:57:37 UTC

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