Idaho
Division of Occupational and Professional Licenses
KRISTINA DIANE SPAIN
Board Of Medicine
License number
D-435
Date granted
12/22/2003
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
10654 W. Kyoga Str Star ID 83669
idaholicensing.com
ID 48335084
LAST UPDATED 2024-03-20 22:09:25 UTC
LAST UPDATED 2024-03-20 22:09:25 UTC
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