Idaho
Division of Occupational and Professional Licenses
MS. TAWNA LEA BARCK
Board Of Medicine
License number
PAT-1139
Date granted
10/18/2013
Date expires
03/10/2014
Class
Board Of Medicine
Status
Expired
Address
8904 NE 15TH AVE #C25 VANCOUVER WA 98665
idaholicensing.com
ID 48337280
LAST UPDATED 2024-04-16 06:45:14 UTC
LAST UPDATED 2024-04-16 06:45:14 UTC
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