Idaho
Division of Occupational and Professional Licenses
TANNER DARIN MITTON
Board Of Medicine
License number
PA-1262
Date granted
07/06/2015
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
2240 E CENTER ST POCATELLO ID 83201
idaholicensing.com
ID 48355275
LAST UPDATED 2024-04-29 00:55:41 UTC
LAST UPDATED 2024-04-29 00:55:41 UTC
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