Idaho
Division of Occupational and Professional Licenses
LISA MICHELLE MINGE
Board Of Medicine
License number
M-8994
Date granted
03/05/2004
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
1072 N. Liberty Street BOISE ID 83704
idaholicensing.com
ID 48358792
LAST UPDATED 2024-03-18 03:38:24 UTC
LAST UPDATED 2024-03-18 03:38:24 UTC
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