PHILIP ERNEST KELLAR

Idaho  M-4120   Canceled

This Idaho license was held by PHILIP ERNEST KELLAR. The license is no longer active. It was granted on 01/11/1980 and expired on 06/17/1959

LICENSE DETAILS

  • License Number: M-4120
  • Category: Board Of Medicine
  • Status: Canceled
  • Date Granted: 01/11/1980 (over 44 years ago)
  • Expiry Date: 06/17/1959 (almost 65 years ago)

LOCATIONS

A Residential

119 S 200 W VALPARAISO IN 46385