Idaho
Division of Occupational and Professional Licenses
GRETCHEN GAYLE BASEN
Board Of Medicine
License number
PA-914
Date granted
07/11/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
180 CRANBROOK DR. HAILEY ID 83333
idaholicensing.com
ID 48337601
LAST UPDATED 2024-03-17 21:41:40 UTC
LAST UPDATED 2024-03-17 21:41:40 UTC
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