License holder summary

TARA LYNN VANDERSLOUT is a Board Of Medicine licensed to practice in Idaho. The address on file for TARA LYNN VANDERSLOUT is 1327 DAKOTA MISSOULA MT 59801. This licensed professional license is not current. The license was granted 11/29/2004 and expired on 05/14/2005.

Idaho

Division of Occupational and Professional Licenses

TARA LYNN VANDERSLOUT
Board Of Medicine
License number
RTS-031
Date granted
11/29/2004
Date expires
05/14/2005
Class
Board Of Medicine
Status
Expired
Address
1327 DAKOTA MISSOULA MT 59801
idaholicensing.com
ID 48361800
LAST UPDATED 2024-03-28 20:38:54 UTC

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