License holder summary

KELLY S MIX - STORK is a Idaho Board Of Chiropractic Physicians - Chiropractic Physician licensed to practice in Idaho. The address on file for KELLY S MIX - STORK is MERIDIAN ID 83646. This licensed professional license is current. The license was granted 10/22/2004 and expired on 05/10/2017.

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 2021-07-06 23:03:50 UTC

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