Idaho
Division of Occupational and Professional Licenses
MAC "D" SMITH
Board Of Medicine
License number
AT-021
Date granted
11/01/1989
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
176 West 1st South Preston ID 83263
idaholicensing.com
ID 48369351
LAST UPDATED 2024-04-10 00:44:04 UTC
LAST UPDATED 2024-04-10 00:44:04 UTC
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