Idaho
Division of Occupational and Professional Licenses
LISA MARIE BAUER
Board Of Medicine
License number
PAT-713
Date granted
09/14/2009
Date expires
10/16/2009
Class
Board Of Medicine
Status
Expired
Address
1335 SW 66TH AVE APT 119 PORTLAND OR 97225
idaholicensing.com
ID 48338469
LAST UPDATED 2024-03-02 18:04:55 UTC
LAST UPDATED 2024-03-02 18:04:55 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.