Idaho
Division of Occupational and Professional Licenses
KARL LEE BREITENBACH
Board Of Medicine
License number
M-4977
Date granted
09/03/1985
Date expires
07/01/1985
Class
Board Of Medicine
Status
Canceled
Address
1127 E. 4100 S. Ogden UT 84403
idaholicensing.com
ID 48329282
LAST UPDATED 2024-02-28 00:55:52 UTC
LAST UPDATED 2024-02-28 00:55:52 UTC
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