Idaho
Division of Occupational and Professional Licenses
HEATHER ELAINE VAN ORDEN
Board Of Medicine
License number
LRT-1372
Date granted
06/04/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
523 W HWY 26 BLACKFOOT ID 83221
idaholicensing.com
ID 48381833
LAST UPDATED 2024-04-03 21:24:24 UTC
LAST UPDATED 2024-04-03 21:24:24 UTC
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