Idaho
Division of Occupational and Professional Licenses
MARY ANNE GINNETTI
Board Of Medicine
License number
D-962
Date granted
11/07/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1495 S TECH LN, APT F305 MERIDIAN ID 83642
idaholicensing.com
ID 48789285
LAST UPDATED 2024-02-24 08:14:52 UTC
LAST UPDATED 2024-02-24 08:14:52 UTC
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