License holder summary

KEITH A PATRICK is a Board Of Medicine licensed to practice in Idaho. The address on file for KEITH A PATRICK is 1301 TAFT HWY #104 BAKERSFIELD CA 93307. This licensed professional license is not current. The license was granted 02/09/2011 and expired on 08/01/2011.

Idaho

Division of Occupational and Professional Licenses

KEITH A PATRICK
Board Of Medicine
License number
LRT-1501
Date granted
02/09/2011
Date expires
08/01/2011
Class
Board Of Medicine
Status
Canceled
Address
1301 TAFT HWY #104 BAKERSFIELD CA 93307
idaholicensing.com
ID 48338426
LAST UPDATED 2024-03-20 04:50:18 UTC

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