Idaho
Division of Occupational and Professional Licenses
Dr. KENNETH Robert MADSEN
Board Of Medicine
License number
M-12372
Date granted
03/11/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4709 BAYWEED CT PUEBLO CO 81001
idaholicensing.com
ID 48329991
LAST UPDATED 2024-02-13 04:30:58 UTC
LAST UPDATED 2024-02-13 04:30:58 UTC
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