License holder summary

MEGAN ANN MACCONNEL is a Board Of Medicine licensed to practice in Idaho. The address on file for MEGAN ANN MACCONNEL is 395 12th St Idaho Falls ID 83404. This licensed professional license is not current. The license was granted 01/26/1995 and expired on 07/08/2004.

Idaho

Division of Occupational and Professional Licenses

MEGAN ANN MACCONNEL
Board Of Medicine
License number
D-204
Date granted
01/26/1995
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
395 12th St Idaho Falls ID 83404
idaholicensing.com
ID 48329514
LAST UPDATED 2024-03-06 07:39:35 UTC

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