Idaho
Division of Occupational and Professional Licenses
BRENNA KATHRYN LEWIS
Board Of Medicine
License number
MSM-0048
Date granted
07/01/2011
Date expires
06/30/2012
Class
Board Of Medicine
Status
Expired
Address
4218 STONE WAY N APT 307 SEATTLE WA 98103
idaholicensing.com
ID 48349111
LAST UPDATED 2024-04-15 06:46:57 UTC
LAST UPDATED 2024-04-15 06:46:57 UTC
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