Idaho
Division of Occupational and Professional Licenses
KIMBERLY DOLECHECK TVERDY
Board Of Medicine
License number
PAT-1363
Date granted
10/01/2015
Date expires
08/04/2017
Class
Board Of Medicine
Status
Licensed
Address
1026 N GRANT AVE POCATELLO ID 83204
idaholicensing.com
ID 48346467
LAST UPDATED 2024-03-01 00:54:18 UTC
LAST UPDATED 2024-03-01 00:54:18 UTC
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