Idaho
Division of Occupational and Professional Licenses
JAN PATRICIA KOVACH
Board Of Medicine
License number
M-9113
Date granted
08/27/2004
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
PO BOX 32046 SANTA FE NM 87594
idaholicensing.com
ID 48329460
LAST UPDATED 2023-12-28 21:51:54 UTC
LAST UPDATED 2023-12-28 21:51:54 UTC
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