Idaho
Division of Occupational and Professional Licenses
KATIE REBECCA MINER
Board Of Medicine
License number
D-416
Date granted
04/02/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 155 TROY ID 83871
idaholicensing.com
ID 48358789
LAST UPDATED 2026-05-20 11:12:57 UTC
LAST UPDATED 2026-05-20 11:12:57 UTC
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