License holder summary

ROSE MAE OUTHENTHAPANYA is a Board Of Medicine licensed to practice in Idaho. The address on file for ROSE MAE OUTHENTHAPANYA is 806 E RYAN CT MEDICAL LAKE WA 99022. This licensed professional license is not current. The license was granted 02/03/2014 and expired on 03/21/2014.

Idaho

Division of Occupational and Professional Licenses

ROSE MAE OUTHENTHAPANYA
Board Of Medicine
License number
PAT-1162
Date granted
02/03/2014
Date expires
03/21/2014
Class
Board Of Medicine
Status
Expired
Address
806 E RYAN CT MEDICAL LAKE WA 99022
idaholicensing.com
ID 48337104
LAST UPDATED 2026-04-14 06:17:47 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with ROSE MAE OUTHENTHAPANYA's work? Add a comment below. You can write anonymously and without having to create an account.

0 Comments

Posting anonymously

Similar names
Trending