Idaho
Division of Occupational and Professional Licenses
SANDRA KASUMOVIC
Board Of Medicine
License number
PA-1136
Date granted
11/26/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
11035 W KARCHER RD NAMPA ID 83651
idaholicensing.com
ID 48337911
LAST UPDATED 2024-04-27 01:07:28 UTC
LAST UPDATED 2024-04-27 01:07:28 UTC
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