Idaho
Division of Occupational and Professional Licenses
LISA MARIE TANNER
Board Of Medicine
License number
D-589
Date granted
03/03/2009
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
2505 E 3707 N TWIN FALLS ID 83301
idaholicensing.com
ID 48371510
LAST UPDATED 2024-03-01 10:57:10 UTC
LAST UPDATED 2024-03-01 10:57:10 UTC
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