Idaho
Division of Occupational and Professional Licenses
KATRINA MARIE MERRELL
Board Of Medicine
License number
PA-1427
Date granted
10/17/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
335 S THORNWOOD DR MERIDIAN ID 83642
idaholicensing.com
ID 48358393
LAST UPDATED 2024-02-07 11:33:29 UTC
LAST UPDATED 2024-02-07 11:33:29 UTC
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