Idaho
Division of Occupational and Professional Licenses
MICHELE MIA FAIELLA
Board Of Medicine
License number
D-690
Date granted
09/28/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
8911 W Mediterranean Ct. Boise ID 83709
idaholicensing.com
ID 48334919
LAST UPDATED 2024-04-26 19:40:14 UTC
LAST UPDATED 2024-04-26 19:40:14 UTC
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