License holder summary

Dr. KEITH THOMAS SIVERTSON is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. KEITH THOMAS SIVERTSON is ST LUKES WOOD RIVER MED CTR KETCHUM ID 83340. This licensed professional license is current. The license was granted 07/19/1991 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. KEITH THOMAS SIVERTSON
Board Of Medicine
License number
M-5846
Date granted
07/19/1991
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
ST LUKES WOOD RIVER MED CTR KETCHUM ID 83340
idaholicensing.com
ID 48355439
LAST UPDATED 2024-04-04 07:24:40 UTC

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