Idaho
Division of Occupational and Professional Licenses
MICHELLE DIANN GARDNER
Board Of Medicine
License number
AT-344
Date granted
06/08/2009
Date expires
07/31/2010
Class
Board Of Medicine
Status
Canceled
Address
4539 TINKER PL BOISE ID 83709
idaholicensing.com
ID 48345476
LAST UPDATED 2026-05-14 19:37:42 UTC
LAST UPDATED 2026-05-14 19:37:42 UTC
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