Idaho
Division of Occupational and Professional Licenses
CRAIG KANTACK
Board Of Medicine
License number
PA-984
Date granted
06/22/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
944 W 97TH S IDAHO FALLS ID 83402
idaholicensing.com
ID 48329448
LAST UPDATED 2024-04-24 04:15:53 UTC
LAST UPDATED 2024-04-24 04:15:53 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.