Idaho
Division of Occupational and Professional Licenses
LEE ALLEN ANTLES
Board Of Medicine
License number
M-5304
Date granted
10/31/1987
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
440 Beacon Hill Dr Hoquiam WA 98550
idaholicensing.com
ID 48336801
LAST UPDATED 2026-04-18 07:55:34 UTC
LAST UPDATED 2026-04-18 07:55:34 UTC
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