License holder summary

KELLY RAY MUTCH is a Board Of Medicine licensed to practice in Idaho. The address on file for KELLY RAY MUTCH is PO Box 786 LA GRANDE OR 97850. This licensed professional license is current. The license was granted 11/09/1984 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KELLY RAY MUTCH
Board Of Medicine
License number
M-4837
Date granted
11/09/1984
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO Box 786 LA GRANDE OR 97850
idaholicensing.com
ID 48359823
LAST UPDATED 2024-02-24 22:45:29 UTC

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