Idaho
Division of Occupational and Professional Licenses
Dr. TARA RENAE MERTZ-HACK
Board Of Medicine
License number
M-13150
Date granted
01/15/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48329591
LAST UPDATED 2024-02-24 17:04:38 UTC
LAST UPDATED 2024-02-24 17:04:38 UTC
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