KATIE DIANA MALLABURN
Idaho PAT-1288 Expired
This Idaho license was held by KATIE DIANA MALLABURN. The license is no longer active. It was granted on 08/28/2015 and expired on 10/11/2015
LICENSE DETAILS
- License Number: PAT-1288
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 08/28/2015 (over 8 years ago)
- Expiry Date: 10/11/2015 (over 8 years ago)
LOCATIONS
A Residential
14950 N SPRING CREEK LN GARDEN CITY ID 83714