Idaho
Division of Occupational and Professional Licenses
ASHLEY RENAE VISSER
Board Of Medicine
License number
PAT-1125
Date granted
09/11/2013
Date expires
08/07/2015
Class
Board Of Medicine
Status
Expired
Address
552 1/2 ROOSEVELT AVE POCATELLO ID 83201
idaholicensing.com
ID 48383692
LAST UPDATED 2024-04-19 22:43:32 UTC
LAST UPDATED 2024-04-19 22:43:32 UTC
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