Idaho
Division of Occupational and Professional Licenses
ANGELA GALLAFENT HATCH
Board Of Medicine
License number
PA-1195
Date granted
09/25/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
540 UNIVERSITY DRIVE POCATELLO ID 83201
idaholicensing.com
ID 48338176
LAST UPDATED 2024-04-07 21:20:45 UTC
LAST UPDATED 2024-04-07 21:20:45 UTC
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