Idaho
Division of Occupational and Professional Licenses
TARAH LYNN ROBERTS
Board Of Medicine
License number
PAT-1196
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
6328 N PARK MEADOW WAY #203 BOISE ID 83713
idaholicensing.com
ID 48361033
LAST UPDATED 2024-03-19 03:46:28 UTC
LAST UPDATED 2024-03-19 03:46:28 UTC
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