License holder summary

MS. TABITHA MARIE ROACH is a Board Of Medicine licensed to practice in Idaho. The address on file for MS. TABITHA MARIE ROACH is 1207 POWERS AVE LEWISTON ID 83501. This licensed professional license is current. The license was granted 07/24/2012 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MS. TABITHA MARIE ROACH
Board Of Medicine
License number
D-726
Date granted
07/24/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1207 POWERS AVE LEWISTON ID 83501
idaholicensing.com
ID 48329655
LAST UPDATED 2024-03-20 11:32:36 UTC

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