License holder summary

MS. MELYNDA LEWIS is a Board Of Medicine licensed to practice in Idaho. The address on file for MS. MELYNDA LEWIS is 11251 W PORTOLA ST BOISE ID 83709. This licensed professional license is current. The license was granted 07/08/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

MS. MELYNDA LEWIS
Board Of Medicine
License number
LRT-1802
Date granted
07/08/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11251 W PORTOLA ST BOISE ID 83709
idaholicensing.com
ID 48349141
LAST UPDATED 2024-01-30 23:37:27 UTC

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