DR. KELLY LEE WENTWORTH
Idaho MRM-1106 Expired
This Idaho license was held by DR. KELLY LEE WENTWORTH. The license is no longer active. It was granted on 05/03/2010 and expired on 06/01/2010
LICENSE DETAILS
- License Number: MRM-1106
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 05/03/2010 (about 15 years ago)
- Expiry Date: 06/01/2010 (about 15 years ago)
LOCATIONS
A Residential
660 SHOSHONE ST E TWIN FALLS ID 83301