License holder summary

Dr. CHARLEEN LESLIE ANN ISE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. CHARLEEN LESLIE ANN ISE is 5220 BELFORT RD. STE 130 JACKSONVILLE FL 32256. This licensed professional license is current. The license was granted 06/09/2015 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. CHARLEEN LESLIE ANN ISE
Board Of Medicine
License number
M-12949
Date granted
06/09/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
5220 BELFORT RD. STE 130 JACKSONVILLE FL 32256
idaholicensing.com
ID 48366540
LAST UPDATED 2024-02-21 15:43:55 UTC

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