Idaho
Division of Occupational and Professional Licenses
MACY ELIZABETH SIMONEAUX
Board Of Medicine
License number
AT-591
Date granted
07/19/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
269 Southview Ave. Moscow ID 83843
idaholicensing.com
ID 48338865
LAST UPDATED 2024-04-20 18:14:52 UTC
LAST UPDATED 2024-04-20 18:14:52 UTC
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