License holder summary

TERA CRISALIDA is a Board Of Medicine licensed to practice in Idaho. The address on file for TERA CRISALIDA is 3055 N RED MTN UNIT 220 MESA AZ 85207. This licensed professional license is current. The license was granted 12/01/2004.

Idaho

Division of Occupational and Professional Licenses

TERA CRISALIDA
Board Of Medicine
License number
PA-530
Date granted
12/01/2004
Class
Board Of Medicine
Status
Active
Address
3055 N RED MTN UNIT 220 MESA AZ 85207
idaholicensing.com
ID 48335883
LAST UPDATED 2024-02-28 22:31:37 UTC

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