Idaho
Division of Occupational and Professional Licenses
Dr. KELLY ANNE SUPPLE
Board Of Medicine
License number
M-10134
Date granted
12/19/2007
Class
Board Of Medicine
Status
Surrendered
Address
5200 172ND ST NE STE D ARLINGTON WA 98223
idaholicensing.com
ID 48362351
LAST UPDATED 2024-01-15 08:34:31 UTC
LAST UPDATED 2024-01-15 08:34:31 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.