License holder summary

KRISTI HACKWORTH ROSE is a Board Of Medicine licensed to practice in Idaho. The address on file for KRISTI HACKWORTH ROSE is 2240 FOOTHILL DR #116E SALT LAKE CITY UT 84109. This licensed professional license is not current. The license was granted 02/14/2000 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

KRISTI HACKWORTH ROSE
Board Of Medicine
License number
D-337
Date granted
02/14/2000
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
2240 FOOTHILL DR #116E SALT LAKE CITY UT 84109
idaholicensing.com
ID 48361603
LAST UPDATED 2024-03-19 15:03:30 UTC

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