License holder summary

GINA RAE ROSSBACK is a Board Of Medicine licensed to practice in Idaho. The address on file for GINA RAE ROSSBACK is 10542 W. Stonecrop Dr. Star ID 83669. This licensed professional license is not current. The license was granted 08/24/1999 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

GINA RAE ROSSBACK
Board Of Medicine
License number
LRT-786
Date granted
08/24/1999
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
10542 W. Stonecrop Dr. Star ID 83669
idaholicensing.com
ID 48329660
LAST UPDATED 2024-03-29 08:34:45 UTC

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