Idaho
Division of Occupational and Professional Licenses
MS. DIANE BROWN
Board Of Medicine
License number
LRT-1668
Date granted
10/22/2012
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
686 SUPERIOR LANE CLARKSVILLE TN 37043
idaholicensing.com
ID 48341752
LAST UPDATED 2024-03-21 09:17:30 UTC
LAST UPDATED 2024-03-21 09:17:30 UTC
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