License holder summary

RYAN LEWIS VAN DE GRAAFF is a Board Of Medicine licensed to practice in Idaho. The address on file for RYAN LEWIS VAN DE GRAAFF is 900 N LIBERTY ST SUITE 400 BOISE ID 83704. This licensed professional license is current. The license was granted 05/23/2008 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

RYAN LEWIS VAN DE GRAAFF
Board Of Medicine
License number
M-10288
Date granted
05/23/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
900 N LIBERTY ST SUITE 400 BOISE ID 83704
idaholicensing.com
ID 48314204
LAST UPDATED 2024-03-01 23:35:03 UTC

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