License holder summary

KATINA ANN VELLOTH is a Board Of Medicine licensed to practice in Idaho. The address on file for KATINA ANN VELLOTH is 268 E JAMES COURT DR #305 MERIDIAN ID 83646. This licensed professional license is not current. The license was granted 09/25/2014 and expired on 08/05/2016.

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 2026-03-09 06:33:41 UTC

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