Idaho
Division of Occupational and Professional Licenses
KAREN C. MANGUM
Board Of Medicine
License number
D-208
Date granted
02/17/1995
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4726 W CLEARFIELD DR EAGLE ID 83616
idaholicensing.com
ID 48352096
LAST UPDATED 2024-04-15 23:35:55 UTC
LAST UPDATED 2024-04-15 23:35:55 UTC
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