Idaho
Division of Occupational and Professional Licenses
DR. BARBARA ELIZABETH KISSAM
Board Of Medicine
License number
M-10401
Date granted
08/15/2008
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
MERIDIAN PEDIATRICS MERIDIAN ID 83646
idaholicensing.com
ID 48356181
LAST UPDATED 2024-03-09 21:02:31 UTC
LAST UPDATED 2024-03-09 21:02:31 UTC
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