License holder summary

KENNETH PETER MCCALLUM is a Board Of Medicine licensed to practice in Idaho. The address on file for KENNETH PETER MCCALLUM is 2615 N 4th #609 Coeur d Alene ID 83814. This licensed professional license is not current. The license was granted 01/23/1991 and expired on 07/02/1998.

Idaho

Division of Occupational and Professional Licenses

KENNETH PETER MCCALLUM
Board Of Medicine
License number
M-5788
Date granted
01/23/1991
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
2615 N 4th #609 Coeur d Alene ID 83814
idaholicensing.com
ID 48342528
LAST UPDATED 2024-02-29 02:23:44 UTC

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