Idaho
Division of Occupational and Professional Licenses
WHITNEY ELISE HAGUEWOOD
Board Of Medicine
License number
LRT-1626
Date granted
06/04/2012
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
135 ROCK ST HEPPNER OR 97836
idaholicensing.com
ID 48334357
LAST UPDATED 2024-03-20 01:27:22 UTC
LAST UPDATED 2024-03-20 01:27:22 UTC
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