Idaho
Division of Occupational and Professional Licenses
LUTANA HOLLOWAY HAAN
Board Of Medicine
License number
LRT-1029
Date granted
10/08/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Reinstated
Address
877 S. CAPITOLA WAY BOISE ID 83712
idaholicensing.com
ID 48314145
LAST UPDATED 2024-04-21 19:03:14 UTC
LAST UPDATED 2024-04-21 19:03:14 UTC
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