License holder summary

BREONNA LORNA PHILLIPS is a Board Of Medicine licensed to practice in Idaho. The address on file for BREONNA LORNA PHILLIPS is 715 W 100 N PAUL ID 83347. This licensed professional license is current. The license was granted 08/14/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

BREONNA LORNA PHILLIPS
Board Of Medicine
License number
LRT-1826
Date granted
08/14/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
715 W 100 N PAUL ID 83347
idaholicensing.com
ID 48352526
LAST UPDATED 2024-02-23 21:19:18 UTC

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