License holder summary

TIFFANY ROSE SMITH is a Board Of Medicine licensed to practice in Idaho. The address on file for TIFFANY ROSE SMITH is 119 TOPONCE DR POCATELLO ID 83204. This licensed professional license is not current. The license was granted 09/25/2014 and expired on 08/05/2016.

Idaho

Division of Occupational and Professional Licenses

TIFFANY ROSE SMITH
Board Of Medicine
License number
PAT-1202
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
119 TOPONCE DR POCATELLO ID 83204
idaholicensing.com
ID 48369479
LAST UPDATED 2024-03-11 15:34:17 UTC

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