Idaho
Division of Occupational and Professional Licenses
BRIANA KIRSTEN RIVERA
Board Of Medicine
License number
PAT-1041
Date granted
09/20/2012
Date expires
09/20/2013
Class
Board Of Medicine
Status
Expired
Address
1447 N LILLY AVE #102 BOISE ID 83713
idaholicensing.com
ID 48355428
LAST UPDATED 2024-02-14 15:27:01 UTC
LAST UPDATED 2024-02-14 15:27:01 UTC
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