Idaho
Division of Occupational and Professional Licenses
KRISTIN KIMMEL DUNLAP
Board Of Medicine
License number
PAT-626
Date granted
08/15/2008
Date expires
09/19/2008
Class
Board Of Medicine
Status
Expired
Address
89166 LIGHTHOUSE WAY COOS BAY OR 97420
idaholicensing.com
ID 48337066
LAST UPDATED 2024-04-22 02:51:47 UTC
LAST UPDATED 2024-04-22 02:51:47 UTC
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