MARVIN RENELL KYM
Idaho DPHY-6029 Canceled
This Idaho license was held by MARVIN RENELL KYM. The license is no longer active. It was granted on 04/14/2014 and expired on 02/01/2016
LICENSE DETAILS
- License Number: DPHY-6029
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 04/14/2014 (about 10 years ago)
- Expiry Date: 02/01/2016 (about 8 years ago)
LOCATIONS
A Residential
3316 4th St 4B LEWISTON ID 83501