License holder summary

REBECCA ANN GOVERNALE is a Board Of Medicine licensed to practice in Idaho. The address on file for REBECCA ANN GOVERNALE is 1824 E CENTER ST POCATELLO ID 83201. This licensed professional license is current. The license was granted 10/01/2015 and expired on 08/04/2017.

Idaho

Division of Occupational and Professional Licenses

REBECCA ANN GOVERNALE
Board Of Medicine
License number
PAT-1316
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
1824 E CENTER ST POCATELLO ID 83201
idaholicensing.com
ID 48351627
LAST UPDATED 2024-03-06 17:21:31 UTC

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