Idaho
Division of Occupational and Professional Licenses
KELLY DRIM SHRUMM
Board Of Medicine
License number
D-055
Date granted
12/14/1994
Date expires
07/08/2004
Class
Board Of Medicine
Status
Canceled
Address
12038 W Mesquite Dr Boise ID 83704
idaholicensing.com
ID 48353267
LAST UPDATED 2024-02-15 10:16:08 UTC
LAST UPDATED 2024-02-15 10:16:08 UTC
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