Idaho
Division of Occupational and Professional Licenses
Dr. KATHLEEN ANN WACHTLER
Board Of Medicine
License number
M-12252
Date granted
12/17/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
777 N. RAYMOND STREET BOISE ID 83704
idaholicensing.com
ID 48353306
LAST UPDATED 2024-03-05 15:13:03 UTC
LAST UPDATED 2024-03-05 15:13:03 UTC
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