Idaho
Division of Occupational and Professional Licenses
KATIE JO LEASK
Board Of Medicine
License number
D-655
Date granted
12/22/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
352 KIMBERLY DRIVE IDAHO FALLS ID 83401
idaholicensing.com
ID 48337947
LAST UPDATED 2024-03-27 17:28:15 UTC
LAST UPDATED 2024-03-27 17:28:15 UTC
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