Idaho
Division of Occupational and Professional Licenses
KYLE STEVEN HOLLENBACK
Board Of Medicine
License number
PA-1330
Date granted
12/03/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
PO Box 266 Glenns Ferry ID 83623
idaholicensing.com
ID 48329341
LAST UPDATED 2024-04-03 23:20:16 UTC
LAST UPDATED 2024-04-03 23:20:16 UTC
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