Idaho
Division of Occupational and Professional Licenses
KATE ALLISON HARTMAN
Board Of Medicine
License number
PA-811
Date granted
09/01/2009
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
4300 SUMMIT FOREST DR NE ROCKFORD MI 49341
idaholicensing.com
ID 48358233
LAST UPDATED 2024-02-20 21:36:20 UTC
LAST UPDATED 2024-02-20 21:36:20 UTC
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