Idaho
Division of Occupational and Professional Licenses
DWAYNE MAXWELL HANSEN
Board Of Medicine
License number
M-8427
Date granted
03/01/2002
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
PO Box 185 Rexburg ID 83440
idaholicensing.com
ID 48360673
LAST UPDATED 2024-02-12 14:42:22 UTC
LAST UPDATED 2024-02-12 14:42:22 UTC
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