Idaho
Division of Occupational and Professional Licenses
LISA ANNE HANSEN
Board Of Medicine
License number
GPA-029
Date granted
08/27/2007
Class
Board Of Medicine
Status
Upgraded
Address
IDAHO VEIN CENTER POCATELLO ID 83201
idaholicensing.com
ID 48360703
LAST UPDATED 2024-04-14 11:48:58 UTC
LAST UPDATED 2024-04-14 11:48:58 UTC
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