License holder summary

TRACY JO GREEN is a Board Of Medicine licensed to practice in Idaho. The address on file for TRACY JO GREEN is 1146 SE FREEDOM Circle MOUNTAIN HOME ID 83647. This licensed professional license is current. The license was granted 02/26/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

TRACY JO GREEN
Board Of Medicine
License number
D-748
Date granted
02/26/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1146 SE FREEDOM Circle MOUNTAIN HOME ID 83647
idaholicensing.com
ID 48347042
LAST UPDATED 2024-01-30 20:47:18 UTC

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