License holder summary

SUSAN KAY TATUM is a Board Of Medicine licensed to practice in Idaho. The address on file for SUSAN KAY TATUM is 3990 S 20E WASHINGTON UT 84780. This licensed professional license is not current. The license was granted 08/15/2006 and expired on 08/01/2012.

Idaho

Division of Occupational and Professional Licenses

SUSAN KAY TATUM
Board Of Medicine
License number
D-505
Date granted
08/15/2006
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
3990 S 20E WASHINGTON UT 84780
idaholicensing.com
ID 48372639
LAST UPDATED 2024-04-15 01:04:55 UTC

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