License holder summary

MADISON ANN SMITH is a Board Of Medicine licensed to practice in Idaho. The address on file for MADISON ANN SMITH is 12065 W OVERLAND RD UNIT 102 BOISE ID 83709. This licensed professional license is current. The license was granted 10/01/2015 and expired on 08/04/2017.

Idaho

Division of Occupational and Professional Licenses

MADISON ANN SMITH
Board Of Medicine
License number
PAT-1355
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
12065 W OVERLAND RD UNIT 102 BOISE ID 83709
idaholicensing.com
ID 48369352
LAST UPDATED 2024-03-19 08:46:11 UTC

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