Idaho
Division of Occupational and Professional Licenses
Dr. AMANDA PORTER DAUTEN
Board Of Medicine
License number
M-13487
Date granted
10/17/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48338553
LAST UPDATED 2024-04-03 00:43:34 UTC
LAST UPDATED 2024-04-03 00:43:34 UTC
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