Idaho
Division of Occupational and Professional Licenses
MICHELLE MAE FRESHWATER
Board Of Medicine
License number
M-8944
Date granted
12/06/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
801 N. Stilson Rd. Boise ID 83703
idaholicensing.com
ID 48338151
LAST UPDATED 2024-04-10 14:43:51 UTC
LAST UPDATED 2024-04-10 14:43:51 UTC
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