License holder summary

KATHY MARIE DIRKS is a Board Of Medicine licensed to practice in Idaho. The address on file for KATHY MARIE DIRKS is 15403 N Chronicle Mead WA 99021. This licensed professional license is not current. The license was granted 10/31/1995 and expired on 07/08/2004.

Idaho

Division of Occupational and Professional Licenses

KATHY MARIE DIRKS
Board Of Medicine
License number
D-231
Date granted
10/31/1995
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
15403 N Chronicle Mead WA 99021
idaholicensing.com
ID 48345177
LAST UPDATED 2024-04-23 09:18:06 UTC

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