Idaho
Division of Occupational and Professional Licenses
CALLIE VYONNE KETTNER
Board Of Medicine
License number
D-912
Date granted
03/02/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
934 N STONEHENGE WAY MERIDIAN ID 83642
idaholicensing.com
ID 48348708
LAST UPDATED 2026-05-22 19:58:33 UTC
LAST UPDATED 2026-05-22 19:58:33 UTC
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