KENNETH DANIEL BAKER
Idaho M-9085 Canceled
This Idaho license was held by KENNETH DANIEL BAKER. The license is no longer active. It was granted on 07/02/2004 and expired on 06/30/2006
LICENSE DETAILS
- License Number: M-9085
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/02/2004 (almost 21 years ago)
- Expiry Date: 06/30/2006 (almost 19 years ago)
LOCATIONS
A Residential
546 GRANITE PL SPRINGFIELD OR 97477