Idaho
Division of Occupational and Professional Licenses
MS. RITA T KLABACHA
Board Of Medicine
License number
PAT-1148
Date granted
12/30/2013
Date expires
01/31/2014
Class
Board Of Medicine
Status
Expired
Address
PO BOX 992 PULLMAN WA 99163
idaholicensing.com
ID 48329103
LAST UPDATED 2024-02-23 03:52:18 UTC
LAST UPDATED 2024-02-23 03:52:18 UTC
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