Idaho
Division of Occupational and Professional Licenses
SUSAN MELCHIORE
Board Of Medicine
License number
M-6934
Date granted
02/13/1996
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 238 HAYDEN ID 83835
idaholicensing.com
ID 48352506
LAST UPDATED 2024-03-27 11:43:04 UTC
LAST UPDATED 2024-03-27 11:43:04 UTC
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