License holder summary

JUDE SOUTHALAY BOUTKASKA is a Board Of Medicine licensed to practice in Idaho. The address on file for JUDE SOUTHALAY BOUTKASKA is 413 N Allumbaugh St Ste 101 BOISE ID 83704. This licensed professional license is current. The license was granted 02/20/2001 and expired on 06/30/2018.

Idaho

Division of Occupational and Professional Licenses

JUDE SOUTHALAY BOUTKASKA
Board Of Medicine
License number
PA-343
Date granted
02/20/2001
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
413 N Allumbaugh St Ste 101 BOISE ID 83704
idaholicensing.com
ID 48337644
LAST UPDATED 2024-04-19 17:37:03 UTC

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