Idaho
Division of Occupational and Professional Licenses
MARISUE SMITH
Board Of Medicine
License number
D-034
Date granted
12/12/1994
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
1311 W. Ada St. Boise ID 83702
idaholicensing.com
ID 48369358
LAST UPDATED 2024-04-21 07:46:33 UTC
LAST UPDATED 2024-04-21 07:46:33 UTC
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