Idaho
Division of Occupational and Professional Licenses
Dr. KENNETH anthony DIETRICH
Board Of Medicine
License number
M-11942
Date granted
03/13/2013
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
3100 CHANNING WAY IDAHO FALLS ID 83404
idaholicensing.com
ID 48345113
LAST UPDATED 2024-03-01 15:09:47 UTC
LAST UPDATED 2024-03-01 15:09:47 UTC
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