Idaho
Division of Occupational and Professional Licenses
LISA ELAYNE BREWER
Board Of Medicine
License number
LRT-1120
Date granted
07/28/2005
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
647 S RALPH SPOKANE WA 99202
idaholicensing.com
ID 48341544
LAST UPDATED 2026-05-21 07:08:11 UTC
LAST UPDATED 2026-05-21 07:08:11 UTC
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