License holder summary

GRETA LOUISE MIRACLE is a Board Of Medicine licensed to practice in Idaho. The address on file for GRETA LOUISE MIRACLE is 405 NE 80TH AVE PORTLAND OR 97213. This licensed professional license is not current. The license was granted 07/11/2008 and expired on 08/05/2008.

Idaho

Division of Occupational and Professional Licenses

GRETA LOUISE MIRACLE
Board Of Medicine
License number
PAT-620
Date granted
07/11/2008
Date expires
08/05/2008
Class
Board Of Medicine
Status
Expired
Address
405 NE 80TH AVE PORTLAND OR 97213
idaholicensing.com
ID 48329596
LAST UPDATED 2024-02-28 20:00:47 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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