Idaho
Division of Occupational and Professional Licenses
LISA MARIE MIX
Board Of Medicine
License number
D-036
Date granted
12/12/1994
Date expires
07/03/2001
Class
Board Of Medicine
Status
Canceled
Address
593 Monte Vista Dr Twin Falls ID 83301
idaholicensing.com
ID 48355474
LAST UPDATED 2024-03-27 08:05:39 UTC
LAST UPDATED 2024-03-27 08:05:39 UTC
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