License holder summary

KENNETH FORRESTER COLINA is a Board Of Medicine licensed to practice in Idaho. The address on file for KENNETH FORRESTER COLINA is PO Box 4730 Pocatello ID 83205. This licensed professional license is not current. The license was granted 01/01/1993.

Idaho

Division of Occupational and Professional Licenses

KENNETH FORRESTER COLINA
Board Of Medicine
License number
MRM-369
Date granted
01/01/1993
Class
Board Of Medicine
Status
Canceled
Address
PO Box 4730 Pocatello ID 83205
idaholicensing.com
ID 48343969
LAST UPDATED 2024-02-17 04:27:39 UTC

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