Idaho
Division of Occupational and Professional Licenses
KENNETH HENRY HYATT
Board Of Medicine
License number
PA-535
Date granted
01/03/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
PO BOX 753 CHALLIS ID 83226
idaholicensing.com
ID 48338237
LAST UPDATED 2024-02-20 10:32:19 UTC
LAST UPDATED 2024-02-20 10:32:19 UTC
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