Idaho
Division of Occupational and Professional Licenses
TRAVIS JON LEISTIKO
Board Of Medicine
License number
LRT-432
Date granted
02/11/1994
Date expires
07/02/1999
Class
Board Of Medicine
Status
Canceled
Address
1408 S Robinhood St Spokane WA 99206
idaholicensing.com
ID 48347734
LAST UPDATED 2026-06-05 08:38:47 UTC
LAST UPDATED 2026-06-05 08:38:47 UTC
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