License holder summary

KEITH R DAHLBERG is a Board Of Medicine licensed to practice in Idaho. The address on file for KEITH R DAHLBERG is 825 McKinley Ave Kellogg ID 83837. This licensed professional license is not current. The license was granted 01/08/1968 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

KEITH R DAHLBERG
Board Of Medicine
License number
M-2808
Date granted
01/08/1968
Date expires
06/30/2005
Class
Board Of Medicine
Status
Canceled
Address
825 McKinley Ave Kellogg ID 83837
idaholicensing.com
ID 48334612
LAST UPDATED 2024-05-16 21:53:41 UTC

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