Idaho
Division of Occupational and Professional Licenses
KATHEIN LEE DALE
Board Of Medicine
License number
LRT-893
Date granted
10/17/2001
Date expires
07/02/2002
Class
Board Of Medicine
Status
Canceled
Address
633 Main #505 Lewiston ID 83501
idaholicensing.com
ID 48335892
LAST UPDATED 2024-04-16 20:08:15 UTC
LAST UPDATED 2024-04-16 20:08:15 UTC
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