Idaho
Division of Occupational and Professional Licenses
VIRGIL ERNEST KNACKSTEDT
Board Of Medicine
License number
M-4167
Date granted
05/12/1980
Class
Board Of Medicine
Status
Canceled
Address
3702 South Central Olympia WA 98501
idaholicensing.com
ID 48329457
LAST UPDATED 2024-04-16 12:30:47 UTC
LAST UPDATED 2024-04-16 12:30:47 UTC
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