License holder summary

MANISHA MITTAL is a Board Of Medicine licensed to practice in Idaho. The address on file for MANISHA MITTAL is 2588 E Aspenwood Ct. EAGLE ID 83616. This licensed professional license is not current. The license was granted 09/06/1997 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

MANISHA MITTAL
Board Of Medicine
License number
M-7355
Date granted
09/06/1997
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
2588 E Aspenwood Ct. EAGLE ID 83616
idaholicensing.com
ID 48355269
LAST UPDATED 2024-04-04 20:29:37 UTC

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