License holder summary

KATIE DIANA MALLABURN is a Board Of Medicine licensed to practice in Idaho. The address on file for KATIE DIANA MALLABURN is 14950 N SPRING CREEK LN GARDEN CITY ID 83714. This licensed professional license is not current. The license was granted 08/28/2015 and expired on 10/11/2015.

Idaho

Division of Occupational and Professional Licenses

KATIE DIANA MALLABURN
Board Of Medicine
License number
PAT-1288
Date granted
08/28/2015
Date expires
10/11/2015
Class
Board Of Medicine
Status
Expired
Address
14950 N SPRING CREEK LN GARDEN CITY ID 83714
idaholicensing.com
ID 48329119
LAST UPDATED 2024-02-28 05:38:45 UTC

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