Idaho
Division of Occupational and Professional Licenses
TATE CAMREN VANCE
Board Of Medicine
License number
MSO-0185
Date granted
05/13/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
12699 TRIPLE CROWN POCATELLO ID 83202
idaholicensing.com
ID 48342964
LAST UPDATED 2024-04-12 01:55:05 UTC
LAST UPDATED 2024-04-12 01:55:05 UTC
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