Idaho
Division of Occupational and Professional Licenses
MICAHLYN MARIE POWERS
Board Of Medicine
License number
M-11525
Date granted
12/21/2011
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
FAMILY MEDICINE RESID OF ID BOISE ID 83704
idaholicensing.com
ID 48362425
LAST UPDATED 2024-03-19 00:43:56 UTC
LAST UPDATED 2024-03-19 00:43:56 UTC
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