Idaho
Division of Occupational and Professional Licenses
MS. KATHRYN LEA POWELL
Board Of Medicine
License number
PA-1141
Date granted
12/19/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
510 CHESTNUT LOOP BELLEVUE ID 83313
idaholicensing.com
ID 48362406
LAST UPDATED 2024-03-24 06:31:20 UTC
LAST UPDATED 2024-03-24 06:31:20 UTC
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