License holder summary

KATHLENE ANN INGRAHAM is a Board Of Medicine licensed to practice in Idaho. The address on file for KATHLENE ANN INGRAHAM is 712 3RD ST SOUTH NAMPA ID 83651. This licensed professional license is not current. The license was granted 10/19/1992 and expired on 08/01/2013.

Idaho

Division of Occupational and Professional Licenses

KATHLENE ANN INGRAHAM
Board Of Medicine
License number
LRT-366
Date granted
10/19/1992
Date expires
08/01/2013
Class
Board Of Medicine
Status
Canceled
Address
712 3RD ST SOUTH NAMPA ID 83651
idaholicensing.com
ID 48334681
LAST UPDATED 2024-04-12 13:54:43 UTC

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