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 2026-04-11 04:36:43 UTC
LAST UPDATED 2026-04-11 04:36:43 UTC
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