KRISTINE DIONISIO TAN
Idaho MSM-0165 Expired
This Idaho license was held by KRISTINE DIONISIO TAN. The license is no longer active. It was granted on 07/01/2012 and expired on 07/01/2013
LICENSE DETAILS
- License Number: MSM-0165
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 07/01/2012 (almost 12 years ago)
- Expiry Date: 07/01/2013 (almost 11 years ago)
LOCATIONS
A Residential
IDAHO WWAMI BOISE ID 83702