License holder summary

JOHN M. KISSANE is a Board Of Medicine licensed to practice in Idaho. The address on file for JOHN M. KISSANE is 660 S. Euclid Ave Saint Louis MO 63110. This licensed professional license is not current. The license was granted 07/08/1962 and expired on 07/02/1993.

Idaho

Division of Occupational and Professional Licenses

JOHN M. KISSANE
Board Of Medicine
License number
M-2610
Date granted
07/08/1962
Date expires
07/02/1993
Class
Board Of Medicine
Status
Canceled
Address
660 S. Euclid Ave Saint Louis MO 63110
idaholicensing.com
ID 48356182
LAST UPDATED 2024-04-01 07:03:27 UTC

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