License holder summary

KENNETH R. DORMAN is a Board Of Medicine licensed to practice in Idaho. The address on file for KENNETH R. DORMAN is 3124 Wheeler St Austin TX 78705. This licensed professional license is not current. The license was granted 06/18/1988 and expired on 07/02/1998.

Idaho

Division of Occupational and Professional Licenses

KENNETH R. DORMAN
Board Of Medicine
License number
M-5370
Date granted
06/18/1988
Date expires
07/02/1998
Class
Board Of Medicine
Status
Canceled
Address
3124 Wheeler St Austin TX 78705
idaholicensing.com
ID 48345582
LAST UPDATED 2024-02-12 20:54:54 UTC

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