Idaho
Division of Occupational and Professional Licenses
MS. AMANDA DIANE HORRICKS
Board Of Medicine
License number
PA-796
Date granted
04/14/2009
Class
Board Of Medicine
Status
Voided
Address
Bonners Ferry Family Medicine BONNERS FERRY ID 83805
idaholicensing.com
ID 48343621
LAST UPDATED 2024-03-08 12:57:01 UTC
LAST UPDATED 2024-03-08 12:57:01 UTC
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