License holder summary

HEATHER ANNE DALE is a Board Of Medicine licensed to practice in Idaho. The address on file for HEATHER ANNE DALE is Wood River ObGyn Ketchum ID 83340. This licensed professional license is not current. The license was granted 09/08/2004 and expired on 08/01/2008.

Idaho

Division of Occupational and Professional Licenses

HEATHER ANNE DALE
Board Of Medicine
License number
PA-504
Date granted
09/08/2004
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
Wood River ObGyn Ketchum ID 83340
idaholicensing.com
ID 48335891
LAST UPDATED 2024-03-09 10:37:05 UTC

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