LISA ANNE HANSEN
Idaho PAT-440 Expired
This Idaho license was held by LISA ANNE HANSEN. The license is no longer active. It was granted on 09/12/2005 and expired on 08/03/2007
LICENSE DETAILS
- License Number: PAT-440
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/12/2005 (over 19 years ago)
- Expiry Date: 08/03/2007 (almost 18 years ago)
LOCATIONS
A Residential
IDAHO VEIN CENTER POCATELLO ID 83201