License holder summary

DR. KELLY LEE WENTWORTH is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. KELLY LEE WENTWORTH is 660 SHOSHONE ST E TWIN FALLS ID 83301. This licensed professional license is not current. The license was granted 05/03/2010 and expired on 06/01/2010.

Idaho

Division of Occupational and Professional Licenses

DR. KELLY LEE WENTWORTH
Board Of Medicine
License number
MRM-1106
Date granted
05/03/2010
Date expires
06/01/2010
Class
Board Of Medicine
Status
Expired
Address
660 SHOSHONE ST E TWIN FALLS ID 83301
idaholicensing.com
ID 48372821
LAST UPDATED 2024-03-29 13:50:05 UTC

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