KENT BRADLEY WHITAKER
Idaho PA-234 Canceled
This Idaho license was held by KENT BRADLEY WHITAKER. The license is no longer active. It was granted on 08/03/1998 and expired on 08/03/2015
LICENSE DETAILS
- License Number: PA-234
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 08/03/1998 (almost 26 years ago)
- Expiry Date: 08/03/2015 (almost 9 years ago)
LOCATIONS
A Residential
6371 S. Pheasant Dr. LAVA HOT SPRINGS ID 83246