License holder summary

IKE DAVID TANABE is a Board Of Medicine licensed to practice in Idaho. The address on file for IKE DAVID TANABE is 6259 W Emerald St Boise ID 83704. This licensed professional license is not current. The license was granted 04/03/1991 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

IKE DAVID TANABE
Board Of Medicine
License number
M-5803
Date granted
04/03/1991
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
6259 W Emerald St Boise ID 83704
idaholicensing.com
ID 48329173
LAST UPDATED 2024-02-04 17:56:40 UTC

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