KELLIE ANN MOORE
Idaho MSM-0109 Expired
This Idaho license was held by KELLIE ANN MOORE. The license is no longer active. It was granted on 05/14/2012 and expired on 05/14/2013
LICENSE DETAILS
- License Number: MSM-0109
- Category: Board Of Medicine
- Status: Expired
- Date Granted: 05/14/2012 (about 12 years ago)
- Expiry Date: 05/14/2013 (about 11 years ago)
LOCATIONS
A Residential
13434 GREENWOOD AVE N SEATTLE WA 98133