License holder summary

Dr. THEODORE Constantine KOUTLAS is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. THEODORE Constantine KOUTLAS is 2003 Kootenai Health Way, Ste 300 Coeur D Alene ID 83814. This licensed professional license is current. The license was granted 07/15/2013 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. THEODORE Constantine KOUTLAS
Board Of Medicine
License number
M-12098
Date granted
07/15/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2003 Kootenai Health Way, Ste 300 Coeur D Alene ID 83814
idaholicensing.com
ID 48337925
LAST UPDATED 2026-04-18 11:35:57 UTC

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