License holder summary

MELISSA ANN HERBST is a Board Of Medicine licensed to practice in Idaho. The address on file for MELISSA ANN HERBST is 6302 Crestmount Drive Salt Lake City UT 84121. This licensed professional license is not current. The license was granted 07/01/2005 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

MELISSA ANN HERBST
Board Of Medicine
License number
M-9327
Date granted
07/01/2005
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
6302 Crestmount Drive Salt Lake City UT 84121
idaholicensing.com
ID 48341834
LAST UPDATED 2024-03-18 14:34:52 UTC

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