Idaho
Division of Occupational and Professional Licenses
MS. DEBRA LOU LACY
Board Of Medicine
License number
LRT-1514
Date granted
04/20/2011
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
310 W 7TH ST N MIDDLETON ID 83644
idaholicensing.com
ID 48329491
LAST UPDATED 2024-02-20 15:48:34 UTC
LAST UPDATED 2024-02-20 15:48:34 UTC
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