License holder summary

Dr. LISA ANTONELLI is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. LISA ANTONELLI is 777 Hospital Way Pocatello ID 83201. This licensed professional license is current. The license was granted 12/11/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. LISA ANTONELLI
Board Of Medicine
License number
M-12243
Date granted
12/11/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
777 Hospital Way Pocatello ID 83201
idaholicensing.com
ID 48336803
LAST UPDATED 2024-02-26 00:14:02 UTC

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