Idaho
Division of Occupational and Professional Licenses
DAVID LEE KLOCKE
Board Of Medicine
License number
M-8924
Date granted
11/07/2003
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
1446 Bell Oaks Ln SW Rochester MN 55902
idaholicensing.com
ID 48356304
LAST UPDATED 2024-03-21 14:33:28 UTC
LAST UPDATED 2024-03-21 14:33:28 UTC
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