KENNETH KEITH CARRELL
Idaho TLM-3630 Upgraded
This Idaho license was held by KENNETH KEITH CARRELL. The license is no longer active. It was granted on 08/26/2005
LICENSE DETAILS
- License Number: TLM-3630
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 08/26/2005 (over 19 years ago)
LOCATIONS
A Residential
1441 NE 10th Ave PAYETTE ID 83661