License holder summary

MARISSA KATHERINE LUCAS is a Board Of Medicine licensed to practice in Idaho. The address on file for MARISSA KATHERINE LUCAS is 620 Homestead Street MOSCOW ID 83843. This licensed professional license is current. The license was granted 10/12/2011 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MARISSA KATHERINE LUCAS
Board Of Medicine
License number
D-692
Date granted
10/12/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
620 Homestead Street MOSCOW ID 83843
idaholicensing.com
ID 48337962
LAST UPDATED 2026-05-17 17:00:42 UTC

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