Idaho
Division of Occupational and Professional Licenses
LISA LONZO DOCKTER
Board Of Medicine
License number
M-8516
Date granted
05/31/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3115 E Florence St MERIDIAN ID 83642
idaholicensing.com
ID 48343468
LAST UPDATED 2024-02-01 00:39:51 UTC
LAST UPDATED 2024-02-01 00:39:51 UTC
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