License holder summary

HATSUYO EBISU is a Board Of Medicine licensed to practice in Idaho. The address on file for HATSUYO EBISU is BSU DEPT OF RESP CARE BOISE ID 83725. This licensed professional license is not current. The license was granted 09/05/2014 and expired on 09/15/2016.

Idaho

Division of Occupational and Professional Licenses

HATSUYO EBISU
Board Of Medicine
License number
RTS-669
Date granted
09/05/2014
Date expires
09/15/2016
Class
Board Of Medicine
Status
Expired
Address
BSU DEPT OF RESP CARE BOISE ID 83725
idaholicensing.com
ID 48340865
LAST UPDATED 2024-04-27 16:39:54 UTC

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