License holder summary

KENNETH KEITH CARRELL is a Board Of Medicine licensed to practice in Idaho. The address on file for KENNETH KEITH CARRELL is 1441 NE 10th Ave PAYETTE ID 83661. This licensed professional license is current. The license was granted 12/02/2005 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KENNETH KEITH CARRELL
Board Of Medicine
License number
M-9441
Date granted
12/02/2005
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
1441 NE 10th Ave PAYETTE ID 83661
idaholicensing.com
ID 48342418
LAST UPDATED 2024-04-09 08:10:59 UTC

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