License holder summary

KELLY MARIE OBRIEN is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLY MARIE OBRIEN is 4707 N AMHERST ST PORTLAND OR 97203. This licensed professional license is not current. The license was granted 09/20/2012 and expired on 09/20/2013.

Idaho

Division of Occupational and Professional Licenses

KELLY MARIE OBRIEN
Board Of Medicine
License number
PAT-1040
Date granted
09/20/2012
Date expires
09/20/2013
Class
Board Of Medicine
Status
Expired
Address
4707 N AMHERST ST PORTLAND OR 97203
idaholicensing.com
ID 48360977
LAST UPDATED 2024-02-08 15:59:04 UTC

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