License holder summary

KENA DEHA LACKMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for KENA DEHA LACKMAN is 38 MURI RD HYSHAM MT 59038. This licensed professional license is current. The license was granted 06/13/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KENA DEHA LACKMAN
Board Of Medicine
License number
MSM-0669
Date granted
06/13/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
38 MURI RD HYSHAM MT 59038
idaholicensing.com
ID 48329486
LAST UPDATED 2024-05-01 09:17:44 UTC

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