Idaho
Division of Occupational and Professional Licenses
A. KENISON ROY III
Board Of Medicine
License number
M-3373
Date granted
07/13/1975
Date expires
06/30/1988
Class
Board Of Medicine
Status
Canceled
Address
709 West Genie Suite 101 Chalmette LA 70043
idaholicensing.com
ID 48362057
LAST UPDATED 2024-02-20 07:32:32 UTC
LAST UPDATED 2024-02-20 07:32:32 UTC
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