Idaho
Division of Occupational and Professional Licenses
LISA RENAE KOLTES
Board Of Medicine
License number
M-7598
Date granted
09/12/1998
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
777 Stanton Blvd Ontario OR 97914
idaholicensing.com
ID 48356474
LAST UPDATED 2026-04-14 02:01:31 UTC
LAST UPDATED 2026-04-14 02:01:31 UTC
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