Idaho
Division of Occupational and Professional Licenses
KATHERINE DYER HAWKINS
Board Of Medicine
License number
PA-1028
Date granted
11/14/2012
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1401 N 23RD ST BOISE ID 83702
idaholicensing.com
ID 48339351
LAST UPDATED 2024-04-11 01:03:25 UTC
LAST UPDATED 2024-04-11 01:03:25 UTC
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