KELLY SUE BEACH
Idaho PA-1208 Renewed
This Idaho license is held by KELLY SUE BEACH. The license is currently active. It was granted on 11/03/2014 and expired on 06/30/2017
LICENSE DETAILS
- License Number: PA-1208
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 11/03/2014 (over 9 years ago)
- Expiry Date: 06/30/2017 (almost 7 years ago)
LOCATIONS
A Residential
300 W. Myrtle Street Boise ID 83702
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