Idaho
Division of Occupational and Professional Licenses
DANIEL HERNANDEZ
Board Of Medicine
License number
LRT-144
Date granted
12/20/1991
Date expires
06/30/1998
Class
Board Of Medicine
Status
Canceled
Address
4071 S. Oakbrook Way Boise ID 83706
idaholicensing.com
ID 48349475
LAST UPDATED 2026-04-15 09:14:31 UTC
LAST UPDATED 2026-04-15 09:14:31 UTC
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