Idaho
Division of Occupational and Professional Licenses
MS. KATHLEEN LEIGH FOSSEN
Board Of Medicine
License number
PA-1165
Date granted
05/13/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4424 E FLAMINGO AVE STE 110 NAMPA ID 83687
idaholicensing.com
ID 48350177
LAST UPDATED 2024-03-22 22:51:37 UTC
LAST UPDATED 2024-03-22 22:51:37 UTC
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