KATIE DIANA MALLABURN
Idaho PAT-1370 Expired
This Idaho license was held by KATIE DIANA MALLABURN. The license is no longer active. It was granted on 10/20/2015 and expired on 08/14/2016
LICENSE DETAILS
- License Number: PAT-1370
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 10/20/2015 (over 8 years ago)
- Expiry Date: 08/14/2016 (over 7 years ago)
LOCATIONS
A Residential
14950 N SPRING CREEK LN GARDEN CITY ID 83714