License holder summary

Dr. EDWARD ALAN LISENBEY is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. EDWARD ALAN LISENBEY is 401 W POPLAR WALLA WALLA WA 99362. This licensed professional license is current. The license was granted 06/24/2015 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

Dr. EDWARD ALAN LISENBEY
Board Of Medicine
License number
M-12976
Date granted
06/24/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
401 W POPLAR WALLA WALLA WA 99362
idaholicensing.com
ID 48360118
LAST UPDATED 2026-04-03 04:41:57 UTC

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