Idaho
Division of Occupational and Professional Licenses
GWEN AILEEN LINDBERG
Board Of Medicine
License number
PA-1060
Date granted
04/10/2013
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
5110 S SURPRISE WAY #204 BOISE ID 83716
idaholicensing.com
ID 48344742
LAST UPDATED 2024-04-19 14:12:57 UTC
LAST UPDATED 2024-04-19 14:12:57 UTC
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