Idaho
Division of Occupational and Professional Licenses
KATINA ANN VELLOTH
Board Of Medicine
License number
PAT-1208
Date granted
09/25/2014
Date expires
08/05/2016
Class
Board Of Medicine
Status
Expired
Address
268 E JAMES COURT DR #305 MERIDIAN ID 83646
idaholicensing.com
ID 48361737
LAST UPDATED 2026-05-14 13:25:36 UTC
LAST UPDATED 2026-05-14 13:25:36 UTC
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