Idaho
Division of Occupational and Professional Licenses
KIMBERLY RENEE TANABE
Board Of Medicine
License number
M-5831
Date granted
06/18/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3101 E State St, Suite 2120 Eagle ID 83616
idaholicensing.com
ID 48329174
LAST UPDATED 2024-03-14 01:08:02 UTC
LAST UPDATED 2024-03-14 01:08:02 UTC
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