LISA ANNE HANSEN
Idaho PA-692 Renewed
This Idaho license is held by LISA ANNE HANSEN. The license is currently active. It was granted on 09/14/2007 and expired on 06/30/2017
LICENSE DETAILS
- License Number: PA-692
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/14/2007 (over 17 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
IDAHO VEIN CENTER POCATELLO ID 83201
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