Idaho
Division of Occupational and Professional Licenses
CARL T KOENEN
Board Of Medicine
License number
M-2640
Date granted
01/13/1964
Class
Board Of Medicine
Status
Canceled
Address
2420 Appleside CLARKSTON WA 99403
idaholicensing.com
ID 48356451
LAST UPDATED 2024-04-14 07:54:13 UTC
LAST UPDATED 2024-04-14 07:54:13 UTC
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