License holder summary

MARIAN SMITH PENGILLY is a Board Of Medicine licensed to practice in Idaho. The address on file for MARIAN SMITH PENGILLY is 1136 North Mountainview Rd MOSCOW ID 83843. This licensed professional license is current. The license was granted 12/22/1994 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MARIAN SMITH PENGILLY
Board Of Medicine
License number
D-141
Date granted
12/22/1994
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1136 North Mountainview Rd MOSCOW ID 83843
idaholicensing.com
ID 48351210
LAST UPDATED 2024-04-02 19:39:01 UTC

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