Idaho
Division of Occupational and Professional Licenses
KELLY S MIX - STORK
Idaho Board Of Chiropractic Physicians - Chiropractic Physician
License number
CHIA - 1097
Date granted
10/22/2004
Date expires
05/10/2017
Class
Idaho Board Of Chiropractic Physicians - Chiropractic Physician
Status
Current
Address
MERIDIAN ID 83646
idaholicensing.com
ID 22464957
LAST UPDATED 2024-03-19 08:46:19 UTC
LAST UPDATED 2024-03-19 08:46:19 UTC
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