License holder summary

KELLIE ANN MOORE is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLIE ANN MOORE is 13434 GREENWOOD AVE N SEATTLE WA 98133. This licensed professional license is not current. The license was granted 05/14/2012 and expired on 05/14/2013.

Idaho

Division of Occupational and Professional Licenses

KELLIE ANN MOORE
Board Of Medicine
License number
MSM-0109
Date granted
05/14/2012
Date expires
05/14/2013
Class
Board Of Medicine
Status
Expired
Address
13434 GREENWOOD AVE N SEATTLE WA 98133
idaholicensing.com
ID 48359349
LAST UPDATED 2024-03-12 08:11:35 UTC

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