Idaho
Division of Occupational and Professional Licenses
CONNIE MARIE LEAVITT
Board Of Medicine
License number
LRT-100
Date granted
11/22/1991
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
9170 Donnybrook BOISE ID 83709
idaholicensing.com
ID 48339213
LAST UPDATED 2024-02-21 23:04:43 UTC
LAST UPDATED 2024-02-21 23:04:43 UTC
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