LORRAINE MARIE TANGEN
Idaho M-6344 Renewed
This Idaho license is held by LORRAINE MARIE TANGEN. The license is currently active. It was granted on 09/11/1993 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-6344
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 09/11/1993 (almost 31 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
1100 North Lincoln Ave JEROME ID 83338
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