Idaho
Division of Occupational and Professional Licenses
DIANE E SCHAFER
Board Of Medicine
License number
D-482
Date granted
11/16/2005
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
3609 JUPITER DRIVE CHALMETTE LA 70043
idaholicensing.com
ID 48334164
LAST UPDATED 2024-03-04 07:45:00 UTC
LAST UPDATED 2024-03-04 07:45:00 UTC
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