License holder summary

KRISTINE LEE MAHANA is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTINE LEE MAHANA is 5757 N. Red Hills Ave EAGLE ID 83616. This licensed professional license is current. The license was granted 03/19/2004 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

KRISTINE LEE MAHANA
Board Of Medicine
License number
LRT-1047
Date granted
03/19/2004
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
5757 N. Red Hills Ave EAGLE ID 83616
idaholicensing.com
ID 48334707
LAST UPDATED 2024-05-02 16:11:12 UTC

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