Idaho
Division of Occupational and Professional Licenses
Dr. MICHAEL LANE HAWTHORNE
Board Of Medicine
License number
M-10957
Date granted
04/12/2010
Date expires
08/01/2012
Class
Board Of Medicine
Status
Canceled
Address
P.O. Box 3893 Houma LA 70361
idaholicensing.com
ID 48339372
LAST UPDATED 2026-04-10 08:22:22 UTC
LAST UPDATED 2026-04-10 08:22:22 UTC
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