Idaho
Division of Occupational and Professional Licenses
EVA DIANE SORRENTINO
Board Of Medicine
License number
D-895
Date granted
09/29/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
467 B PHEASANT RIDGE DR CHUBBUCK ID 83202
idaholicensing.com
ID 48360599
LAST UPDATED 2026-03-19 04:34:44 UTC
LAST UPDATED 2026-03-19 04:34:44 UTC
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