Idaho
Division of Occupational and Professional Licenses
KITTY LEA WARDLE
Board Of Medicine
License number
LRT-138
Date granted
12/20/1991
Date expires
07/03/1997
Class
Board Of Medicine
Status
Canceled
Address
2629 Ellis Ave. Boise ID 83702
idaholicensing.com
ID 48345398
LAST UPDATED 2024-02-19 22:15:48 UTC
LAST UPDATED 2024-02-19 22:15:48 UTC
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