Idaho
Division of Occupational and Professional Licenses
Dr. CATHLEEN ANN IVY
Board Of Medicine
License number
M-13516
Date granted
11/10/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
11995 SINGLETREE LANE EDEN PRAIRIE MN 55344
idaholicensing.com
ID 48817875
LAST UPDATED 2024-03-08 15:03:30 UTC
LAST UPDATED 2024-03-08 15:03:30 UTC
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