Idaho
Division of Occupational and Professional Licenses
AUTUMN DAWN HEUMAN
Board Of Medicine
License number
PA-1032
Date granted
11/16/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
4305 N. Eagle Rd. Boise ID 83713
idaholicensing.com
ID 48348858
LAST UPDATED 2024-03-21 15:09:10 UTC
LAST UPDATED 2024-03-21 15:09:10 UTC
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