Idaho
Division of Occupational and Professional Licenses
KATHY JO PUCKETT
Board Of Medicine
License number
D-361
Date granted
03/07/2001
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
156 N. Johnson Pocatello ID 83204
idaholicensing.com
ID 48362499
LAST UPDATED 2024-04-24 23:35:35 UTC
LAST UPDATED 2024-04-24 23:35:35 UTC
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