Idaho
Division of Occupational and Professional Licenses
ALAN JOHN TANNER
Board Of Medicine
License number
M-9980
Date granted
06/08/2007
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
Newport Diagnostic Center Newport Beach CA 92660
idaholicensing.com
ID 48371504
LAST UPDATED 2024-03-05 21:51:59 UTC
LAST UPDATED 2024-03-05 21:51:59 UTC
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