KEVIN KEITH TAYLOR
Idaho AT-212 Renewed
This Idaho license is held by KEVIN KEITH TAYLOR. The license is currently active. It was granted on 03/03/2003 and expired on 06/30/2017
LICENSE DETAILS
- License Number: AT-212
- Category: Board Of Medicine
- Status: Renewed
- Date Granted: 03/03/2003 (about 22 years ago)
- Expiry Date: 06/30/2017 (almost 8 years ago)
LOCATIONS
A Residential
11906 W Gambrell St STAR ID 83669
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