Idaho
Division of Occupational and Professional Licenses
Dr. KEITH MICHAEL GAUTREAUX
Board Of Medicine
License number
M-13121
Date granted
12/04/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2560 NE HOPKINS CT. PULLMAN WA 99163
idaholicensing.com
ID 48338608
LAST UPDATED 2024-03-27 08:10:26 UTC
LAST UPDATED 2024-03-27 08:10:26 UTC
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