Idaho
Division of Occupational and Professional Licenses
JORDAN KATHLEEN HUTTASH
Board Of Medicine
License number
MSM-0624
Date granted
05/04/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
302 BAKER ST APT #102 MOSCOW ID 83843
idaholicensing.com
ID 48337879
LAST UPDATED 2024-03-24 11:18:07 UTC
LAST UPDATED 2024-03-24 11:18:07 UTC
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