License holder summary

LISA KAYE BENNETT is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA KAYE BENNETT is PO BOX 130 GRANGEVILLE ID 83530. This licensed professional license is current. The license was granted 07/12/2007 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LISA KAYE BENNETT
Board Of Medicine
License number
LRT-1264
Date granted
07/12/2007
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 130 GRANGEVILLE ID 83530
idaholicensing.com
ID 48340554
LAST UPDATED 2024-04-10 14:50:44 UTC

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