Idaho
Division of Occupational and Professional Licenses
MIRIAM LEE STONE LEWIS
Board Of Medicine
License number
M-5984
Date granted
05/19/1992
Date expires
01/03/1989
Class
Board Of Medicine
Status
Canceled
Address
2427 E Louisa St Seattle WA 98112
idaholicensing.com
ID 48349143
LAST UPDATED 2024-03-01 17:14:27 UTC
LAST UPDATED 2024-03-01 17:14:27 UTC
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