License holder summary

MARILYN DIANE SMITH is a Board Of Medicine licensed to practice in Idaho. The address on file for MARILYN DIANE SMITH is 1266 W KILAREA AVE MESA AZ 85202. This licensed professional license is not current. The license was granted 10/21/2003 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

MARILYN DIANE SMITH
Board Of Medicine
License number
D-430
Date granted
10/21/2003
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
1266 W KILAREA AVE MESA AZ 85202
idaholicensing.com
ID 48369356
LAST UPDATED 2024-04-24 22:47:56 UTC

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