License holder summary

MICHAEL SCOTT MAXWELL is a Board Of Medicine licensed to practice in Idaho. The address on file for MICHAEL SCOTT MAXWELL is 2112 S Cherry St Port Angeles WA 98362. This licensed professional license is not current. The license was granted 03/13/1990 and expired on 07/02/1991.

Idaho

Division of Occupational and Professional Licenses

MICHAEL SCOTT MAXWELL
Board Of Medicine
License number
M-5637
Date granted
03/13/1990
Date expires
07/02/1991
Class
Board Of Medicine
Status
Canceled
Address
2112 S Cherry St Port Angeles WA 98362
idaholicensing.com
ID 48339609
LAST UPDATED 2024-02-18 16:15:42 UTC

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