License holder summary

MARY TERISSA DECKER is a Board Of Medicine licensed to practice in Idaho. The address on file for MARY TERISSA DECKER is 2315 E 4000 N Filer ID 83328. This licensed professional license is not current. The license was granted 12/21/1994 and expired on 07/08/2004.

Idaho

Division of Occupational and Professional Licenses

MARY TERISSA DECKER
Board Of Medicine
License number
D-133
Date granted
12/21/1994
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
2315 E 4000 N Filer ID 83328
idaholicensing.com
ID 48343440
LAST UPDATED 2024-04-11 02:01:43 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with MARY TERISSA DECKER's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending