License holder summary

ANSLEY KATHRYN SMALLEN is a Board Of Medicine licensed to practice in Idaho. The address on file for ANSLEY KATHRYN SMALLEN is 8788 W NORTHVIEW ST BOISE ID 83704. This licensed professional license is not current. The license was granted 08/12/2013 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

ANSLEY KATHRYN SMALLEN
Board Of Medicine
License number
AT-473
Date granted
08/12/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
8788 W NORTHVIEW ST BOISE ID 83704
idaholicensing.com
ID 48369155
LAST UPDATED 2024-03-27 08:02:00 UTC

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