Idaho
Division of Occupational and Professional Licenses
KITTY CRAPO MOOSO
Board Of Medicine
License number
D-442
Date granted
04/29/2004
Date expires
08/01/2008
Class
Board Of Medicine
Status
Canceled
Address
4604 W FLINTLOCK WAY HERRIMAN UT 84096
idaholicensing.com
ID 48359378
LAST UPDATED 2024-02-12 18:34:21 UTC
LAST UPDATED 2024-02-12 18:34:21 UTC
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