License holder summary

MAURISSA PAIGE RADAKOVICH is a Board Of Medicine licensed to practice in Idaho. The address on file for MAURISSA PAIGE RADAKOVICH is 2271 S 5TH AVE #312 POCATELLO ID 83201. This licensed professional license is current. The license was granted 09/01/2016 and expired on 08/03/2018.

Idaho

Division of Occupational and Professional Licenses

MAURISSA PAIGE RADAKOVICH
Board Of Medicine
License number
PAT-1440
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
2271 S 5TH AVE #312 POCATELLO ID 83201
idaholicensing.com
ID 48330664
LAST UPDATED 2024-03-01 04:22:08 UTC

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