License holder summary

KATHERINE ANNE SMALLEY is a Board Of Medicine licensed to practice in Idaho. The address on file for KATHERINE ANNE SMALLEY is 5170 LEONARD RD POCATELLO ID 83204. This licensed professional license is current. The license was granted 09/01/2016 and expired on 08/03/2018.

Idaho

Division of Occupational and Professional Licenses

KATHERINE ANNE SMALLEY
Board Of Medicine
License number
PAT-1451
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
5170 LEONARD RD POCATELLO ID 83204
idaholicensing.com
ID 48369156
LAST UPDATED 2024-02-27 10:07:15 UTC

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