Idaho
Division of Occupational and Professional Licenses
TATE JOHN HANSEN
Board Of Medicine
License number
LRT-1316
Date granted
06/13/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3720 W SEA ISLAND CT MERIDIAN ID 83646
idaholicensing.com
ID 48360721
LAST UPDATED 2024-03-26 01:48:37 UTC
LAST UPDATED 2024-03-26 01:48:37 UTC
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