License holder summary

LUTANA HOLLOWAY HAAN is a Board Of Medicine licensed to practice in Idaho. The address on file for LUTANA HOLLOWAY HAAN is 877 S. CAPITOLA WAY BOISE ID 83712. This licensed professional license is not current. The license was granted 10/08/2003 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

LUTANA HOLLOWAY HAAN
Board Of Medicine
License number
LRT-1029
Date granted
10/08/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Reinstated
Address
877 S. CAPITOLA WAY BOISE ID 83712
idaholicensing.com
ID 48314145
LAST UPDATED 2024-02-20 18:21:51 UTC

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