Idaho
Division of Occupational and Professional Licenses
Dr. LOREN Lew LEWIS
Board Of Medicine
License number
M-11712
Date granted
07/13/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
8382 W. GAGE, BLVD, SUITE Q KENNEWICK WA 99336
idaholicensing.com
ID 48349137
LAST UPDATED 2024-03-12 16:33:32 UTC
LAST UPDATED 2024-03-12 16:33:32 UTC
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