Idaho
Division of Occupational and Professional Licenses
KATHLEEN MARIE PYATEK
Board Of Medicine
License number
PA-1191
Date granted
09/08/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
2606 N 30TH ST BOISE ID 83703
idaholicensing.com
ID 48348011
LAST UPDATED 2024-04-10 03:18:51 UTC
LAST UPDATED 2024-04-10 03:18:51 UTC
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