Idaho
Division of Occupational and Professional Licenses
ALEXA BROOKE HABERLACK
Board Of Medicine
License number
AT-592
Date granted
07/19/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
346 RODEO DR MOSCOW ID 83843
idaholicensing.com
ID 48329093
LAST UPDATED 2024-01-05 09:09:57 UTC
LAST UPDATED 2024-01-05 09:09:57 UTC
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