License holder summary

KENNETH ROBERT CANCELED MILLER is a Board Of Medicine licensed to practice in Idaho. The address on file for KENNETH ROBERT CANCELED MILLER is HC 87 Box 348 Mountain Home ID 83647. This licensed professional license is not current. The license was granted 03/04/1989 and expired on 06/30/1997.

Idaho

Division of Occupational and Professional Licenses

KENNETH ROBERT CANCELED MILLER
Board Of Medicine
License number
RPA-80
Date granted
03/04/1989
Date expires
06/30/1997
Class
Board Of Medicine
Status
Canceled
Address
HC 87 Box 348 Mountain Home ID 83647
idaholicensing.com
ID 48358705
LAST UPDATED 2024-04-07 14:48:29 UTC

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