Idaho
Division of Occupational and Professional Licenses
ALEXANDER J. KLISTOFF
Board Of Medicine
License number
M-3936
Date granted
05/05/1979
Date expires
07/01/1978
Class
Board Of Medicine
Status
Canceled
Address
1117 East Main Street Grass Valley CA 95945
idaholicensing.com
ID 48349845
LAST UPDATED 2026-04-21 03:49:20 UTC
LAST UPDATED 2026-04-21 03:49:20 UTC
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