Idaho
Division of Occupational and Professional Licenses
TARA POWELL
Board Of Medicine
License number
PA-1198
Date granted
10/06/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2730 Channing Way Idaho Falls ID 83404
idaholicensing.com
ID 48362415
LAST UPDATED 2026-05-27 18:45:53 UTC
LAST UPDATED 2026-05-27 18:45:53 UTC
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