DR. KELLY JAROM ANDERSON

Idaho  SPHY-10579   Canceled

This Idaho license was held by DR. KELLY JAROM ANDERSON. The license is no longer active. It was granted on 10/29/2010 and expired on 02/03/2014

LICENSE DETAILS

  • License Number: SPHY-10579
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 10/29/2010 (over 14 years ago)
  • Expiry Date: 02/03/2014 (about 11 years ago)

LOCATIONS

A Residential

3430 WASHINGTON PARKWAY IDAHO FALLS ID 83404