License holder summary

Dr. RICKY LANE GARDNER is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. RICKY LANE GARDNER is 98 POPLAR STREET BLACKFOOT ID 83221. This licensed professional license is not current. The license was granted 06/03/2013 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

Dr. RICKY LANE GARDNER
Board Of Medicine
License number
M-12037
Date granted
06/03/2013
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
98 POPLAR STREET BLACKFOOT ID 83221
idaholicensing.com
ID 48345482
LAST UPDATED 2024-04-11 01:17:21 UTC

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