LISA MARIE BAUER
Idaho PAT-713 Expired
This Idaho license was held by LISA MARIE BAUER. The license is no longer active. It was granted on 09/14/2009 and expired on 10/16/2009
LICENSE DETAILS
- License Number: PAT-713
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 09/14/2009 (over 15 years ago)
- Expiry Date: 10/16/2009 (over 15 years ago)
LOCATIONS
A Residential
1335 SW 66TH AVE APT 119 PORTLAND OR 97225