Idaho
Division of Occupational and Professional Licenses
WALTER KURT BIRKENHAGEN
Board Of Medicine
License number
M-3705
Date granted
10/30/1977
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
6372 BUCKSKIN RD POCATELLO ID 83201
idaholicensing.com
ID 48334256
LAST UPDATED 2024-05-13 04:59:40 UTC
LAST UPDATED 2024-05-13 04:59:40 UTC
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