Idaho
Division of Occupational and Professional Licenses
KELLY JO VINCENT
Board Of Medicine
License number
PA-1332
Date granted
12/08/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
2303 E FRATELLO ST MERIDIAN ID 83642
idaholicensing.com
ID 48342970
LAST UPDATED 2024-03-08 20:37:26 UTC
LAST UPDATED 2024-03-08 20:37:26 UTC
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