License holder summary

Dr. KELLY ANNE SUPPLE is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. KELLY ANNE SUPPLE is 5200 172ND ST NE STE D ARLINGTON WA 98223. This licensed professional license is not current. The license was granted 12/19/2007.

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

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

Reviews

Are you familiar with Dr. KELLY ANNE SUPPLE's work? Add a comment below. You can write anonymously and without having to create an account.