Idaho
Division of Occupational and Professional Licenses
LISA ANN HERRYGERS
Board Of Medicine
License number
MRM-562
Date granted
08/11/1998
Class
Board Of Medicine
Status
Canceled
Address
4483 S. Tableridge Way Boise ID 83716
idaholicensing.com
ID 48350870
LAST UPDATED 2024-03-31 22:08:07 UTC
LAST UPDATED 2024-03-31 22:08:07 UTC
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