License holder summary

IVY ANN HANSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for IVY ANN HANSEN is 2065 E 17TH STREET "D" IDAHO FALLS ID 83404. This licensed professional license is current. The license was granted 09/08/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

IVY ANN HANSEN
Board Of Medicine
License number
PA-814
Date granted
09/08/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2065 E 17TH STREET "D" IDAHO FALLS ID 83404
idaholicensing.com
ID 48360679
LAST UPDATED 2026-05-17 07:44:28 UTC

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