Idaho
Division of Occupational and Professional Licenses
Dr. LISA RIETZ YANASE
Board Of Medicine
License number
M-12762
Date granted
12/05/2014
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
9135 SW BARNES ROAD PORTLAND OR 97225
idaholicensing.com
ID 48389861
LAST UPDATED 2024-02-15 09:33:26 UTC
LAST UPDATED 2024-02-15 09:33:26 UTC
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