Idaho
Division of Occupational and Professional Licenses
DAWN LENZ
Board Of Medicine
License number
PSG-015
Date granted
02/09/2004
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4358 East 1200 North ASHTON ID 83420
idaholicensing.com
ID 48360941
LAST UPDATED 2024-02-21 08:16:37 UTC
LAST UPDATED 2024-02-21 08:16:37 UTC
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