Dr. KENNETH anthony DIETRICH
Idaho M-11942 Canceled
This Idaho license was held by Dr. KENNETH anthony DIETRICH. The license is no longer active. It was granted on 03/13/2013 and expired on 08/03/2015
LICENSE DETAILS
- License Number: M-11942
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 03/13/2013 (about 12 years ago)
- Expiry Date: 08/03/2015 (over 9 years ago)
LOCATIONS
A Residential
3100 CHANNING WAY IDAHO FALLS ID 83404