License holder summary

PAUL ANDREW PUCKETT is a Board Of Medicine licensed to practice in Idaho. The address on file for PAUL ANDREW PUCKETT is 515 W Front SEE NOTES Missoula MT 59802. This licensed professional license is not current. The license was granted 11/24/1997 and expired on 06/30/2004.

Idaho

Division of Occupational and Professional Licenses

PAUL ANDREW PUCKETT
Board Of Medicine
License number
M-7380
Date granted
11/24/1997
Date expires
06/30/2004
Class
Board Of Medicine
Status
Canceled
Address
515 W Front SEE NOTES Missoula MT 59802
idaholicensing.com
ID 48362500
LAST UPDATED 2024-04-04 14:36:16 UTC

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