Idaho
Division of Occupational and Professional Licenses
ELLIS KACKLEY
Board Of Medicine
License number
M-0134
Date granted
06/20/1899
Class
Board Of Medicine
Status
Canceled
Address
Caribou Hospital Soda Springs
idaholicensing.com
ID 48329443
LAST UPDATED 2024-05-11 23:08:20 UTC
LAST UPDATED 2024-05-11 23:08:20 UTC
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