License holder summary

ERICA MAZZARELLA is a Board Of Medicine licensed to practice in Idaho. The address on file for ERICA MAZZARELLA is 1922 Hogan St. COEUR D ALENE ID 83815. This licensed professional license is current. The license was granted 07/22/2002 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

ERICA MAZZARELLA
Board Of Medicine
License number
LRT-940
Date granted
07/22/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1922 Hogan St. COEUR D ALENE ID 83815
idaholicensing.com
ID 48340197
LAST UPDATED 2024-02-23 21:01:51 UTC

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