License holder summary

KEITH ALLEN HAUGEN is a Board Of Medicine licensed to practice in Idaho. The address on file for KEITH ALLEN HAUGEN is PO Box 565 Cottonwood ID 83522. This licensed professional license is not current. The license was granted 07/19/1997 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

KEITH ALLEN HAUGEN
Board Of Medicine
License number
M-7282
Date granted
07/19/1997
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
PO Box 565 Cottonwood ID 83522
idaholicensing.com
ID 48338625
LAST UPDATED 2024-03-05 11:42:10 UTC

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