License holder summary

KATHLEEN ANNE HANNIFAN is a Board Of Medicine licensed to practice in Idaho. The address on file for KATHLEEN ANNE HANNIFAN is PO BOX 4730 POCATELLO ID 83205. This licensed professional license is not current. The license was granted 07/23/2007 and expired on 09/20/2007.

Idaho

Division of Occupational and Professional Licenses

KATHLEEN ANNE HANNIFAN
Board Of Medicine
License number
MRM-0962
Date granted
07/23/2007
Date expires
09/20/2007
Class
Board Of Medicine
Status
Expired
Address
PO BOX 4730 POCATELLO ID 83205
idaholicensing.com
ID 48349638
LAST UPDATED 2024-05-03 14:26:17 UTC

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