License holder summary

SANDRA BIRCH is a Board Of Medicine licensed to practice in Idaho. The address on file for SANDRA BIRCH is 804 Paquerette Court Manchester MO 63021. This licensed professional license is not current. The license was granted 06/07/2001 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

SANDRA BIRCH
Board Of Medicine
License number
D-365
Date granted
06/07/2001
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
804 Paquerette Court Manchester MO 63021
idaholicensing.com
ID 48340786
LAST UPDATED 2024-03-17 04:29:59 UTC

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