KENNETH KEITH CARRELL
Idaho SPHY-9441 Renewed
This Idaho license is held by KENNETH KEITH CARRELL. The license is currently active. It was granted on 02/27/2007 and expired on 12/31/2016
LICENSE DETAILS
- License Number: SPHY-9441
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 02/27/2007 (about 18 years ago)
- Expiry Date: 12/31/2016 (over 8 years ago)
LOCATIONS
A Residential
1441 NE 10th Ave PAYETTE ID 83661
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