Idaho
Division of Occupational and Professional Licenses
Dr. THADEUS BRANDON KOONTZ
Board Of Medicine
License number
M-11984
Date granted
04/22/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 2591 BOISE ID 83701
idaholicensing.com
ID 48356488
LAST UPDATED 2024-03-30 05:54:09 UTC
LAST UPDATED 2024-03-30 05:54:09 UTC
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