Idaho
Division of Occupational and Professional Licenses
KENNETH DANIEL BAKER
Board Of Medicine
License number
M-9085
Date granted
07/02/2004
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
546 GRANITE PL SPRINGFIELD OR 97477
idaholicensing.com
ID 48335208
LAST UPDATED 2024-03-17 14:56:06 UTC
LAST UPDATED 2024-03-17 14:56:06 UTC
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