License holder summary

DOMINIQUE GERARD OWENS is a Board Of Medicine licensed to practice in Idaho. The address on file for DOMINIQUE GERARD OWENS is 12549 W. Braddock DR. BOISE ID 83709. This licensed professional license is current. The license was granted 06/25/2008 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DOMINIQUE GERARD OWENS
Board Of Medicine
License number
LRT-1323
Date granted
06/25/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
12549 W. Braddock DR. BOISE ID 83709
idaholicensing.com
ID 48386286
LAST UPDATED 2024-02-20 07:55:04 UTC

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