Idaho
Division of Occupational and Professional Licenses
Dr. LUCY DANA DEWITT
Board Of Medicine
License number
M-12107
Date granted
07/19/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
175 N MEDICAL DRIVE EAST 5TH FLOOR SALT LAKE CITY UT 84132
idaholicensing.com
ID 48349074
LAST UPDATED 2024-02-22 07:20:14 UTC
LAST UPDATED 2024-02-22 07:20:14 UTC
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