License holder summary

Dr. VIVEK STEPHEN KANTAYYA is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. VIVEK STEPHEN KANTAYYA is 223 16TH AVENUE NORTH NAMPA ID 83653. This licensed professional license is current. The license was granted 10/28/2014 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. VIVEK STEPHEN KANTAYYA
Board Of Medicine
License number
M-12703
Date granted
10/28/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
223 16TH AVENUE NORTH NAMPA ID 83653
idaholicensing.com
ID 48339854
LAST UPDATED 2024-04-03 12:37:16 UTC

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