License holder summary

KELLY JEAN CUSHING is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLY JEAN CUSHING is 777 N RAYMOND ST BOISE ID 83704. This licensed professional license is not current. The license was granted 06/28/2004 and expired on 06/26/2006.

Idaho

Division of Occupational and Professional Licenses

KELLY JEAN CUSHING
Board Of Medicine
License number
MRM-790
Date granted
06/28/2004
Date expires
06/26/2006
Class
Board Of Medicine
Status
Expired
Address
777 N RAYMOND ST BOISE ID 83704
idaholicensing.com
ID 48344570
LAST UPDATED 2024-01-29 07:44:59 UTC

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