Idaho
Division of Occupational and Professional Licenses
Dr. KEITH WAYNE DAVIS
Board Of Medicine
License number
M-13465
Date granted
09/27/2016
Date expires
06/30/2018
Class
Board Of Medicine
Status
Licensed
Address
2211 LOMAS NE ALBUQUERQUE NM 87131
idaholicensing.com
ID 48339089
LAST UPDATED 2024-03-20 12:16:01 UTC
LAST UPDATED 2024-03-20 12:16:01 UTC
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