License holder summary

Dr. LOTHAR MICHAEL GEBAUER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. LOTHAR MICHAEL GEBAUER is 401 PALMETTO STREET NEW SMYRNA BEACH FL 32168. This licensed professional license is current. The license was granted 10/13/2015 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. LOTHAR MICHAEL GEBAUER
Board Of Medicine
License number
M-13070
Date granted
10/13/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
401 PALMETTO STREET NEW SMYRNA BEACH FL 32168
idaholicensing.com
ID 48338609
LAST UPDATED 2024-05-05 12:52:25 UTC

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