Idaho
Division of Occupational and Professional Licenses
Dr. TARA Sibert WHITAKER
Board Of Medicine
License number
M-11855
Date granted
12/13/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1520 W State St Boise ID 83702
idaholicensing.com
ID 48335437
LAST UPDATED 2024-03-02 21:23:36 UTC
LAST UPDATED 2024-03-02 21:23:36 UTC
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