Idaho
Division of Occupational and Professional Licenses
ANDREA KIM WHITEMAN
Board Of Medicine
License number
LRT-1399
Date granted
07/31/2009
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
695 E Whitehall St Meridian ID 83642
idaholicensing.com
ID 48348255
LAST UPDATED 2024-03-04 22:21:14 UTC
LAST UPDATED 2024-03-04 22:21:14 UTC
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