Idaho
Division of Occupational and Professional Licenses
LORRAINE MARIE TANGEN
Board Of Medicine
License number
M-6344
Date granted
09/11/1993
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1100 North Lincoln Ave JEROME ID 83338
idaholicensing.com
ID 48371501
LAST UPDATED 2024-01-23 18:00:47 UTC
LAST UPDATED 2024-01-23 18:00:47 UTC
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