Idaho
Division of Occupational and Professional Licenses
CONNIE MARIE HACKING
Board Of Medicine
License number
LRT-098
Date granted
11/22/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
8997 W Buckskin POCATELLO ID 83201
idaholicensing.com
ID 48329336
LAST UPDATED 2024-01-30 13:43:12 UTC
LAST UPDATED 2024-01-30 13:43:12 UTC
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