Idaho
Division of Occupational and Professional Licenses
KADEN LYDE FACER
Board Of Medicine
License number
MSM-0726
Date granted
08/16/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1632 S MAIN ST #202 MOSCOW ID 83843
idaholicensing.com
ID 48329314
LAST UPDATED 2024-03-14 00:20:04 UTC
LAST UPDATED 2024-03-14 00:20:04 UTC
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