Idaho
Division of Occupational and Professional Licenses
KELLY SUE BEACH
Board Of Medicine
License number
PA-1208
Date granted
11/03/2014
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
300 W. Myrtle Street Boise ID 83702
idaholicensing.com
ID 48329228
LAST UPDATED 2024-02-28 06:47:11 UTC
LAST UPDATED 2024-02-28 06:47:11 UTC
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