License holder summary

KELLY ANNE HEUSINKVELD is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLY ANNE HEUSINKVELD is 3675 GRAMARCY LN BOISE ID 83703. This licensed professional license is current. The license was granted 09/01/2016 and expired on 08/03/2018.

Idaho

Division of Occupational and Professional Licenses

KELLY ANNE HEUSINKVELD
Board Of Medicine
License number
PAT-1422
Date granted
09/01/2016
Date expires
08/03/2018
Class
Board Of Medicine
Status
Licensed
Address
3675 GRAMARCY LN BOISE ID 83703
idaholicensing.com
ID 48348861
LAST UPDATED 2024-02-04 02:25:33 UTC

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