Idaho
Division of Occupational and Professional Licenses
Dr. PHILIP LUKE BAESE
Board Of Medicine
License number
M-13058
Date granted
09/18/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
650 KOMAS DRIVE SALT LAKE CITY UT 84108
idaholicensing.com
ID 48332997
LAST UPDATED 2024-04-13 07:08:30 UTC
LAST UPDATED 2024-04-13 07:08:30 UTC
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