Idaho
Division of Occupational and Professional Licenses
MICHELLE DAWN MAGNUSON
Board Of Medicine
License number
RTS-052
Date granted
06/27/2005
Date expires
07/15/2006
Class
Board Of Medicine
Status
Expired
Address
14106 W CHARLES RD NINE MILE FALLS WA 99026
idaholicensing.com
ID 48334396
LAST UPDATED 2024-03-15 08:57:49 UTC
LAST UPDATED 2024-03-15 08:57:49 UTC
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