License holder summary

MARY SUSANNE PLACEK is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY SUSANNE PLACEK is 465 MEMORIAL DRIVE POCATELLO ID 83201. This licensed professional license is not current. The license was granted 06/13/2011 and expired on 06/30/2014.

Idaho

Division of Occupational and Professional Licenses

MARY SUSANNE PLACEK
Board Of Medicine
License number
MRM-1208
Date granted
06/13/2011
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
465 MEMORIAL DRIVE POCATELLO ID 83201
idaholicensing.com
ID 48329638
LAST UPDATED 2024-02-07 09:19:05 UTC

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