Idaho
Division of Occupational and Professional Licenses
REBECCA ALICE LEUENHAGEN
Board Of Medicine
License number
LRT-950
Date granted
08/21/2002
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6177 N Oliver Ave Boise ID 83714
idaholicensing.com
ID 48334382
LAST UPDATED 2024-04-11 04:58:58 UTC
LAST UPDATED 2024-04-11 04:58:58 UTC
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