Idaho
Division of Occupational and Professional Licenses
Christine Hannema Masefield
Board Of Medicine
License number
D-396
Date granted
05/13/2002
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
PO Box 366 Shelter Island NY 11964
idaholicensing.com
ID 48337975
LAST UPDATED 2026-06-04 03:06:41 UTC
LAST UPDATED 2026-06-04 03:06:41 UTC
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