Idaho
Division of Occupational and Professional Licenses
SUSAN LYNNE SMITH-VICE
Board Of Medicine
License number
D-421
Date granted
08/26/2003
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
PO Box 1812 Porterville CA 93258
idaholicensing.com
ID 48342901
LAST UPDATED 2024-03-08 13:05:18 UTC
LAST UPDATED 2024-03-08 13:05:18 UTC
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