Idaho
Division of Occupational and Professional Licenses
CAROL ANN KUCHMAK
Board Of Medicine
License number
M-6461
Date granted
04/25/1994
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
2100 Napa-Vallejo Highway Napa CA 94558
idaholicensing.com
ID 48335314
LAST UPDATED 2024-05-03 17:25:54 UTC
LAST UPDATED 2024-05-03 17:25:54 UTC
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