License holder summary

Dr. TARA RENAE MERTZ-HACK is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. TARA RENAE MERTZ-HACK is 777 N. RAYMOND STREET BOISE ID 83704. This licensed professional license is current. The license was granted 01/15/2016 and expired on 06/30/2017.

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

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