License holder summary

Dr. DIANE DAHLSTROM BRICCO is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. DIANE DAHLSTROM BRICCO is 6863 HALIFAX ST. SAN DIEGO CA 92120. This licensed professional license is current. The license was granted 12/29/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. DIANE DAHLSTROM BRICCO
Board Of Medicine
License number
M-13133
Date granted
12/29/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
6863 HALIFAX ST. SAN DIEGO CA 92120
idaholicensing.com
ID 48341555
LAST UPDATED 2024-03-01 23:38:58 UTC

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