Idaho
Division of Occupational and Professional Licenses
Dr. DANIELLE KIGGINS SISUL
Board Of Medicine
License number
M-13396
Date granted
08/02/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
98 POPLAR STREET BLACKFOOT ID 83221
idaholicensing.com
ID 48367928
LAST UPDATED 2024-02-09 15:13:43 UTC
LAST UPDATED 2024-02-09 15:13:43 UTC
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