Idaho
Division of Occupational and Professional Licenses
DANIELLE RENAE PORTEOUS
Board Of Medicine
License number
M-8509
Date granted
05/16/2002
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
420 N 2nd Ave Ste 100 Sandpoint ID 83864
idaholicensing.com
ID 48348315
LAST UPDATED 2024-04-09 01:25:42 UTC
LAST UPDATED 2024-04-09 01:25:42 UTC
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