Idaho
Division of Occupational and Professional Licenses
ANDREANNA JODANN HOLMBERG
Board Of Medicine
License number
PAT-692
Date granted
02/12/2009
Date expires
04/01/2009
Class
Board Of Medicine
Status
Expired
Address
7855 SE 46TH AVE PORTLAND OR 97206
idaholicensing.com
ID 48353138
LAST UPDATED 2026-04-16 16:03:27 UTC
LAST UPDATED 2026-04-16 16:03:27 UTC
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