License holder summary

LISA MARIE BAUER is a Board Of Medicine licensed to practice in Idaho. The address on file for LISA MARIE BAUER is 1335 SW 66TH AVE APT 119 PORTLAND OR 97225. This licensed professional license is not current. The license was granted 09/14/2009 and expired on 10/16/2009.

Idaho

Division of Occupational and Professional Licenses

LISA MARIE BAUER
Board Of Medicine
License number
PAT-713
Date granted
09/14/2009
Date expires
10/16/2009
Class
Board Of Medicine
Status
Expired
Address
1335 SW 66TH AVE APT 119 PORTLAND OR 97225
idaholicensing.com
ID 48338469
LAST UPDATED 2024-02-23 09:13:24 UTC

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