Idaho
Division of Occupational and Professional Licenses
ANNALYSE LOUISE PAYNE
Board Of Medicine
License number
AT-526
Date granted
08/14/2014
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
114 BENT TREE LN PACIFIC WA 98047
idaholicensing.com
ID 48340045
LAST UPDATED 2026-04-01 06:34:23 UTC
LAST UPDATED 2026-04-01 06:34:23 UTC
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