License holder summary

KRISTINE DIONISIO TAN is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTINE DIONISIO TAN is IDAHO WWAMI BOISE ID 83702. This licensed professional license is not current. The license was granted 07/01/2012 and expired on 07/01/2013.

Idaho

Division of Occupational and Professional Licenses

KRISTINE DIONISIO TAN
Board Of Medicine
License number
MSM-0165
Date granted
07/01/2012
Date expires
07/01/2013
Class
Board Of Medicine
Status
Expired
Address
IDAHO WWAMI BOISE ID 83702
idaholicensing.com
ID 48371498
LAST UPDATED 2024-03-07 21:05:25 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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