Idaho
Division of Occupational and Professional Licenses
VICKY C. RAAEN
Board Of Medicine
License number
LRT-150
Date granted
12/20/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 15977 Boise ID 83715
idaholicensing.com
ID 48314179
LAST UPDATED 2024-04-09 00:59:10 UTC
LAST UPDATED 2024-04-09 00:59:10 UTC
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