License holder summary

Dr. COLIN KERST GRISSOM is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. COLIN KERST GRISSOM is 5121 S. COTTONWOOD STREET SALT LAKE CITY UT 84107. This licensed professional license is current. The license was granted 10/07/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. COLIN KERST GRISSOM
Board Of Medicine
License number
M-12664
Date granted
10/07/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
5121 S. COTTONWOOD STREET SALT LAKE CITY UT 84107
idaholicensing.com
ID 48351747
LAST UPDATED 2024-02-14 08:40:28 UTC

This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.

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