License holder summary

SASHA TANIA MUSSO is a Board Of Medicine licensed to practice in Idaho. The address on file for SASHA TANIA MUSSO is 4991 BITTERBRUSH DR BOISE ID 83703. This licensed professional license is not current. The license was granted 09/11/2013 and expired on 08/07/2015.

Idaho

Division of Occupational and Professional Licenses

SASHA TANIA MUSSO
Board Of Medicine
License number
PAT-1106
Date granted
09/11/2013
Date expires
08/07/2015
Class
Board Of Medicine
Status
Expired
Address
4991 BITTERBRUSH DR BOISE ID 83703
idaholicensing.com
ID 48359811
LAST UPDATED 2024-04-09 19:12:54 UTC

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