License holder summary

CASSIE KING BROADHEAD is a Board Of Medicine licensed to practice in Idaho. The address on file for CASSIE KING BROADHEAD is 1505 EASTRIDGE DR #13 POCATELLO ID 83201. This licensed professional license is not current. The license was granted 09/11/2013 and expired on 08/07/2015.

Idaho

Division of Occupational and Professional Licenses

CASSIE KING BROADHEAD
Board Of Medicine
License number
PAT-1076
Date granted
09/11/2013
Date expires
08/07/2015
Class
Board Of Medicine
Status
Expired
Address
1505 EASTRIDGE DR #13 POCATELLO ID 83201
idaholicensing.com
ID 48329833
LAST UPDATED 2024-04-18 05:31:45 UTC

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