KELLY S MIX - STORK

Idaho Board Of Chiropractic Physicians - Chiropractic Physician

Idaho  CHIA - 1097   Current

This Idaho license is held by KELLY S MIX - STORK. The license is currently active. It was granted on 10/22/2004 and expired on 05/10/2017

LICENSE DETAILS

  • License Number: CHIA - 1097
  • Category: CHIROPRACTIC PHYSICIAN
  • Status: Current
  • Date Granted: 10/22/2004 (over 20 years ago)
  • Expiry Date: 05/10/2017 (about 8 years ago)

LOCATIONS

A Address

MERIDIAN ID 83646