License holder summary

Dr. KENNETH Robert MADSEN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. KENNETH Robert MADSEN is 4709 BAYWEED CT PUEBLO CO 81001. This licensed professional license is current. The license was granted 03/11/2014 and expired on 06/30/2017.

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 2026-07-15 01:42:27 UTC

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