License holder summary

KELLIN MICHAEL BRAY is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLIN MICHAEL BRAY is 10402 W CORY ST BOISE ID 83704. This licensed professional license is current. The license was granted 07/21/2016 and expired on 07/21/2017.

Idaho

Division of Occupational and Professional Licenses

KELLIN MICHAEL BRAY
Board Of Medicine
License number
TRN-102
Date granted
07/21/2016
Date expires
07/21/2017
Class
Board Of Medicine
Status
Licensed
Address
10402 W CORY ST BOISE ID 83704
idaholicensing.com
ID 48339657
LAST UPDATED 2024-02-04 07:04:57 UTC

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