Idaho
Division of Occupational and Professional Licenses
REBECCA HOLMAN VAN DE VORD
Board Of Medicine
License number
D-248
Date granted
10/29/1996
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
3317 12th St Lewiston ID 83501
idaholicensing.com
ID 48381826
LAST UPDATED 2024-01-26 03:38:47 UTC
LAST UPDATED 2024-01-26 03:38:47 UTC
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