License holder summary

JONATHAN MATTHEW KELLER is a Board Of Medicine licensed to practice in Idaho. The address on file for JONATHAN MATTHEW KELLER is 407 221ST STREET SE BOTHELL WA 98021. This licensed professional license is not current. The license was granted 07/01/2011 and expired on 06/30/2012.

Idaho

Division of Occupational and Professional Licenses

JONATHAN MATTHEW KELLER
Board Of Medicine
License number
MSM-0054
Date granted
07/01/2011
Date expires
06/30/2012
Class
Board Of Medicine
Status
Expired
Address
407 221ST STREET SE BOTHELL WA 98021
idaholicensing.com
ID 48356044
LAST UPDATED 2026-05-05 20:07:27 UTC

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