KENNETH KEITH CARRELL
Idaho M-9441 Renewed
This Idaho license is held by KENNETH KEITH CARRELL. The license is currently active. It was granted on 12/02/2005 and expired on 06/30/2017
LICENSE DETAILS
- License Number: M-9441
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 12/02/2005 (over 19 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
1441 NE 10th Ave PAYETTE ID 83661
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