Idaho
Division of Occupational and Professional Licenses
LORELEI WAYNA DEJAN COO
Board Of Medicine
License number
RTS-806
Date granted
06/13/2016
Date expires
10/16/2017
Class
Board Of Medicine
Status
Extended
Address
2503 E HOFFMON AVE SPOKANE WA 99207
idaholicensing.com
ID 48344112
LAST UPDATED 2026-05-24 21:08:31 UTC
LAST UPDATED 2026-05-24 21:08:31 UTC
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