License holder summary

TERRACE ROBERTA MUCHA is a Board Of Medicine licensed to practice in Idaho. The address on file for TERRACE ROBERTA MUCHA is 1501 NE Medical Center Drive Bend OR 97701. This licensed professional license is not current. The license was granted 06/22/2007 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

TERRACE ROBERTA MUCHA
Board Of Medicine
License number
M-9995
Date granted
06/22/2007
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
1501 NE Medical Center Drive Bend OR 97701
idaholicensing.com
ID 48359612
LAST UPDATED 2024-03-30 18:18:16 UTC

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