Idaho
Division of Occupational and Professional Licenses
BRIAN LANE MCMAHAN
Board Of Medicine
License number
MRM-1215
Date granted
06/24/2011
Date expires
06/30/2014
Class
Board Of Medicine
Status
Expired
Address
500 W FORT ST #111 BOISE ID 83702
idaholicensing.com
ID 48334720
LAST UPDATED 2024-04-22 09:49:28 UTC
LAST UPDATED 2024-04-22 09:49:28 UTC
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