Idaho
Division of Occupational and Professional Licenses
ADAM SHANE KORENKE
Board Of Medicine
License number
PA-526
Date granted
11/09/2004
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
2395 Morningstar Circle Idaho Falls ID 83402
idaholicensing.com
ID 48356505
LAST UPDATED 2024-02-26 14:34:43 UTC
LAST UPDATED 2024-02-26 14:34:43 UTC
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